产后出血的预防性介入放射治疗:现状

IF 0.2 Q4 ANESTHESIOLOGY
S. Choudhary, Sunanda Gupta
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引用次数: 0

摘要

产后出血(PPH)是可预防的孕产妇死亡率和发病率的主要原因。与阴道分娩相比,接受剖宫产的妇女患产后出血的风险增加。产科护理的改进和诊断模式的进步使产科医生能够检测、预测并预防灾难性的子宫出血。PPH风险增加的患者应转诊至配备介入放射学套件的三级护理中心,在那里,多学科团队24小时待命,并做好应对潜在并发症的准备。这篇综述强调了PPH的管理,特别强调了预防PPH的介入放射学程序。选择性动脉栓塞和动脉球囊闭塞等微创介入放射学技术已被有效地用于避免子宫切除术,降低输血及其相关并发症的总体发生率,同时保留生殖功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prophylactic interventional radiological procedures in postpartum hemorrhage: The present scenario
Postpartum hemorrhage (PPH) is the leading cause of preventable maternal mortality and morbidity. Women undergoing cesarean delivery are at increased risk of PPH as compared to vaginal delivery. Improvement in obstetric care and advances in diagnostic modalities have empowered obstetricians to detect, predict, and therefore prevent catastrophic uterine bleeding. Patients at increased risk for PPH should be referred to tertiary care centers equipped with interventional radiology suite, where multidisciplinary teams are available 24 h and are prepared to deal with potential complications. This review highlights the management of PPH with special emphasis on interventional radiology procedures for the prevention of PPH. Minimally invasive interventional radiological techniques such as selective arterial embolization and arterial balloon occlusion have been effectively used to avert hysterectomy and reduce the overall incidence of blood transfusion and its associated complications while preserving reproductive functions.
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来源期刊
Indian Anaesthetists Forum
Indian Anaesthetists Forum ANESTHESIOLOGY-
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17
审稿时长
6 weeks
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