[1]陈坤前,李发旺,朱恩全,等.球囊封堵术在产科大出血的临床应用 [J].介入放射学杂志,2017,(05):408-411.
 CHEN Kunqian,LI Fawang,ZHU Enquan,et al.The clinical application of balloon occlusion technique in treating obstetric hemorrhage[J].journal interventional radiology,2017,(05):408-411.
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球囊封堵术在产科大出血的临床应用 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年05期
页码:
408-411
栏目:
血管介入
出版日期:
2017-05-25

文章信息/Info

Title:
The clinical application of balloon occlusion technique in treating obstetric hemorrhage
作者:
陈坤前 李发旺 朱恩全 谢 奎 李文良 张明礼 耿 超 王爱国刘剑峰 郭 颢
Author(s):
CHEN Kunqian LI Fawang ZHU Enquan XIE Kui LI Wenliang ZHANG Mingli GENG Chao WANG Aiguo LIU Jianfeng GUO Hao
Department of Interventional Radiology, Qujing Municipal First People’s Hospital, Qujing, Yunnan Province 655000, China
关键词:
【关键词】 球囊封堵术 凶险性前置胎盘 胎盘植入
文献标志码:
A
摘要:
【摘要】 目的 探讨球囊封堵术治疗凶险性前置胎盘的临床疗效。方法 2015年1月至2016年3月采用球囊封堵术协助产科处理凶险性前置胎盘产妇16例。15例经彩色超声或MRI诊断为中央型前置胎盘并高度怀疑胎盘植入,择期于剖宫产前双侧髂内动脉预置球囊,胎儿取出同时立即充盈双侧球囊对目标血管作临时封堵,根据产科医师止血状况适时撤出球囊;1例行急症腹主动脉临时球囊封堵术,开腹发现胎盘穿透至前壁浆膜下,予子宫切除术。结果 16例球囊封堵术均获成功,平均阻断时间15 min,出血量300~1 200 ml。结论 剖宫产手术前球囊封堵术治疗凶险性前置胎盘安全可靠,可显著减少术中出血、迅速有效止血、为剖宫产提供清晰术野及挽救产妇生命,充分体现产科、介入科等多学科协作的必要性。

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备注/Memo

备注/Memo:
(收稿日期:2016-06-28)
(本文编辑:边 佶)
更新日期/Last Update: 2017-05-15