产后出血的处理

T. Golen, S. Shainker
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引用次数: 0

摘要

产后出血(PPH)是产妇发病率和死亡率的主要原因之一,无论是在美国和世界各地。为了确保及时治疗,对PPH的病因有一个清晰的认识是至关重要的。治疗包括内科和外科两种方法,并对持续出血进行必要的升级护理。侵入性胎盘(胎盘增生、胎盘增量、胎盘percreta)已成为出血相关发病率和死亡率的更常见原因。侵袭性胎盘患者应在熟悉这种病理并有能力处理大出血的中心以多学科方式进行治疗。产科单位应该有PPH协议作为工具,以协助早期识别和治疗。同样,单位应该有一个大规模的输血方案,以应对持续产科出血的情况。关键词:产后出血,产科出血,子宫张力,子宫内翻,子宫填塞球囊,有创胎盘,胎盘增生,产科出血方案,大量输血方案
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of Postpartum Hemorrhage
Postpartum Hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality both in the United States and world-wide.  To ensure prompt treatment, it is crucial to have a clear understanding of the causes of the PPH.  Treatment includes both medical and surgical approaches, with the necessary escalation of care with ongoing hemorrhage. Invasive placentation (placenta accreta, increta, percreta) has become a more common cause of hemorrhage related morbidity and mortality.  Patients with invasive placentation should be managed in a multidisciplinary fashion at a center familiar with this pathology and capable of managing massive hemorrhage.  Obstetrical units should have a PPH protocol as a tool to assist in early recognition and treatment.  Similarly, units should have a massive transfusion protocol at the ready for scenarios of ongoing obstetrical hemorrhage.  This review contains 5 figures, 4 tables and 65 references Keywords: Postpartum Hemorrhage, Obstetrical Hemorrhage, Uterine Atony, Uterine Inversion, Uterine Tamponade Balloon, Invasive Placentation, Placenta Accreta, Obstetric Hemorrhage Protocol, Massive Transfusion Protocol
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