急诊动脉栓塞治疗产后大出血的临床应用

The clinical application of emergency artery embolization treatment in postpartum hemorrhage

目的:探讨急诊动脉栓塞术治疗产后大出血的造影表现及疗效。方法:对30例保守治疗无效的产后大出血患者,行DSA髂内动脉造影,明确出血动脉,再行靶动脉明胶海绵栓塞治疗,并造影复查栓塞效果。结果:30例产后大出血患者28例子宫动脉和2例髂内动脉前干栓塞治疗后出血均得到有效控制,未出现严重并发症。结论:急诊动脉栓塞治疗产后大出血安全、有效,可作为产后大出血经保守治疗无效后的首选治疗方法。

Objective：To evaluate the angiographic manifestation and therapeutic effect of emergent arterial embolization in postpartum hemorrhage.Methods： 30 patients suffering postpartum hemorrhage and failed in conservative treatment were conducted internal iliac artery digital subtraction angiography（DSA） to clarify the bleeding artery and were further received gelatin sponge embolism therapy of the target artery and finally reangiographed to check the effectiveness.Results： In 30 patients of postpartum hemorrhage,we conducted 28 arteriae uterine embolism and 2 anterior trunk of internal iliac artery embolism and the hemorrhage were effectively controlled in all 31 patients and no severe complications happened.Conclusion： Emergent arterial embolization as a therapeutic method in postpartum hemorrhage is safe and effective and can be used as the first choice in patients failed in conservative treatment.