妇产科大出血急诊栓塞治疗

Emergent embolization treatment for obstetrical and gynecological massive bleeding

目的 :介绍髂内动脉栓塞术抢救妇产科大出血的初步经验。 方法 :产后 2例 ,子宫全切术后 2例 ,过期流产 1例 ,均采用Seldinger技术经股动脉选择性插管至双侧髂内动脉 ,经导管注入明胶海绵颗粒栓塞双侧髂内动脉。结果 :栓塞术后所有病例立即止血。过期流产致凝血功能障碍全部恢复正常。结论 :髂内动脉栓塞术抢救妇产科大出血是安全有效的。

Objective:To report experiences of emergency management of obstetrical and gynecological massive bleeding by embolization of internal iliac arteries.Methods:Of 5 cases with massive bleeding, 2 were postpartum,1 missed abortion and 2 after total hysterectomy.All were subjected to bilateral internal iliac arterial embolization with Gelfoam by Seldinger technique.Results:Bleedings stopped immediately after emobilization and the coagulopathy resulting from missed abortion restored to normal also.Conclusions:Internal iliac artery embolization is a safe and effective therapeutic measure for treatment of massive hemorrhage of obs gyn origin.