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目的探讨顽固性产后大出血动脉栓塞治疗的临床价值。方法对12例保守治疗无效的产后大出血患者进行急诊血管造影检查和选择性动脉栓塞,平均年龄24岁(22～37岁),出血量在1000～11500ml。栓塞材料为明胶海绵或/和弹簧圈。结果12例患者全部插管栓塞成功。栓塞后9例出血立即停止,3例渐止,无严重栓塞并发症。1例术后当天死于DIC,余11例随访12个月,未再出血。结论用明胶海绵颗粒或/和弹簧圈栓塞治疗产后大出血,是一种安全有效的治疗方法。
Objective To investigate the clinical value of intractable postpartum hemorrhage arterial embolization. Methods Twelve patients with postpartum hemorrhage ineffective in conservative treatment underwent emergency angiography and selective arterial embolism. The mean age was 24 years old (22-37 years) and the bleeding volume was between 1000 and 11500ml. Embolization materials are gelatin sponges or / and coils. Results All the 12 patients were successfully intubated. 9 cases of bleeding immediately after embolization stopped, 3 cases gradually stopped, no serious embolism complications. One patient died of DIC on the day after surgery, and the remaining 11 patients were followed up for 12 months without further bleeding. Conclusion The treatment of postpartum hemorrhage with gelatin sponge particles and / or coil embolization is a safe and effective treatment.