摘要
目的探讨卡前列素氨丁三醇联合宫腔填塞纱条对凶险型前置胎盘的疗效。方法选取本院2010年10月～2012年12月使用卡前列素氨丁三醇联合宫腔填塞纱条治疗的凶险型前置胎盘剖宫产术中大出血病例24例,回顾性分析治疗前后出血量差异并及时记录。结果使用卡前列素氨丁三醇联合宫腔填塞纱条治疗凶险型前置胎盘24例中成功20例,1d后填塞纱条顺利从阴道取出,没有感染复发出血发生;3例患者由于胎盘完全植入造成子宫动脉栓塞;还有1例患者实行子宫切除,没有死亡病例。结论卡前列素氨丁三醇联合宫腔填塞纱条对治疗凶险型前置胎盘大出血十分有效,值得临床借鉴推广。
Objective To discuss the effect of carboprost tromethamine（CT） combined with intrauterine packing with gauze（IPWG） on dangerous placenta previa（DPP）. Methods 24 cases of massive haemorrhage patients caused by DPP operation which were treated with CT combined with IPWG from Oct.2011 to Dec,2012 were selected, and the blood volume difference were retrospectively analyzed and timely recorded before and after treatment. Results 20 out of 24 cases DPP patients were successfully recovered by CT combined with IPWG treatment. The packing gauze was pulled out smoothly after 1 day, and no infection recurred and haemorrhage. 3 cases patients＇ uterine artery were embolized due to the fully placenta implantation. In addition, 1 case of hysterectomy was operated, however, no death happened in the end. Conclusion CT combined with IPWG has a high effect on DPP therapy, and it worth to be used for reference in clinical therapy.
出处
《中国医药科学》
2013年第12期87-88,共2页
China Medicine And Pharmacy
关键词
卡前列素氨丁三醇
宫腔纱条填塞
凶险型前置胎盘
Carboprost tromethamine
Intrauterine packing with gauze
Dangerous placenta previa
