宫腔填塞在产后出血中的应用

Application of uterine packing to treating postpartum hemorrhage

宫腔填塞可用于因宫缩乏力、前置胎盘或胎盘粘连所引起的产后出血。通过增加宫腔内压力压迫动静脉及扩张宫腔反射性引起子宫收缩而止血;宫腔填塞可暂时止血,等待机体发挥自身的凝血功能。宫腔填塞物有:Bakri紧急填塞球囊导管;森-布管;Rusch泌尿外科静压球囊导管;Fo-ley导尿管;避孕套导管、宫腔自制水囊和纱布条。可经宫腔填塞或经阴道填塞。但纱布填塞不当易致隐匿性出血。填塞后8～48h取出宫腔填塞物。

Uterine packing can be used for postpartum hemorrhage because of uterine inertia, placenta previa or placental adhesion. Stop bleeding by increasing intrauterine pressure to oppress the arteriovenous and expanding the cavity of uterus to cause the contraction of the uterus, uterine packing can stop bleeding for the timebeing, waiting for bady to play its own clotting function. The material of uterine packing includes： SOS Bakri Tamponade balloon catheter, Sengstaken- Blakemore tube, Rusch hy- drostatic urological balloon, Foley catheter, hydro- static candom catheter, Self- made bladders and rib- bon gauze, which can be used through uterine or vagina. However, gauze packing can lead to occult bleeding if using improperly. The stuffing must be taken out within 8 -48h.