• 临床论丛 • 上一篇    下一篇

“外用冻干人纤维蛋白粘合剂”配合三腔弗雷氏管在预防和治疗前置胎盘引起的产后出血中的应用

刘玉芝,刘照娟   

  1. 天津市南开医院
  • 收稿日期:2010-02-22 修回日期:2010-05-21 出版日期:2010-07-15 发布日期:2010-07-15
  • 通讯作者: 刘玉芝

  • Received:2010-02-22 Revised:2010-05-21 Published:2010-07-15 Online:2010-07-15

摘要: 目的:探讨临床更快捷且行之有效的预防和治疗前置胎盘引起的产后出血的最新方法 方法: 对我院2009年收治的12例前置胎盘的病例进行回顾性分析及文献复习 结果:8例预防性治疗无一例发生产后出血,完全性前置胎盘3例和低置胎盘产后出血1例术后止血治疗有效,12例患者均短期内痊愈出院 结论 :于前置胎盘的剥离面涂抹“外用冻干人纤维蛋白粘合剂”(后简称“冻”)止血效果显著,配合三腔弗雷氏管造水囊(后简称“水囊”)压迫缩复不好的子宫下段能有效地预防和治疗前置胎盘引起的产后出血,可降低产后出血的发生率,在临床工作中有一定的指导意义。

关键词: 前置胎盘, 产后出血, 外用冻干人纤维蛋白粘合剂, 三腔弗雷氏管

Abstract: Objectives:To explore more efficient and effective methods of prevention and treatment of postpartum hemorrhage caused by placenta previa,Methods:12 cases of placenta previa cases were retrospectively analyzed and review of literature in our hospital in 2009.Results:8 cases of prophylactic treatment were not postpartum hemorrhage, 3 cases of complete placenta previa and low-set one cases of postpartum hemorrhage after placental hemostasis effective treatment, 12 patients were discharged shortly.Conclusions:In the spin-off of placenta previa face painting, " external fibrin glue" (later referred to as "freezing"), hemostasis achieved significant results, also with the three-cavity tube made Frey's bladders (later referred to as "cystic") pressure reduction re - bad lower uterine segment can be effective in preventing and treating postpartum hemorrhage due to placenta previa, can reduce the incidence of postpartum hemorrhage in clinical workIn clinical work, the above-mentionde are certain guiding significance

Key words: Placenta previa, Postpartum hemorrhage, External fibrin glue, Frey, s three-cavity tube