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中华妇幼临床医学杂志(电子版) ›› 2013, Vol. 09 ›› Issue (03) : 349 -352. doi: 10.3877/cma.j.issn.1673-5250.2013.03.015

所属专题: 文献

论著

子宫动脉栓塞术治疗难治性产后出血的护理策略
刘雪1, 樊琼2, 王祖莉1,*,*()   
  1. 1. 610041 成都,四川大学华西第二医院放射科
    2. 610041 成都,四川大学华西第二医院产科
  • 收稿日期:2012-11-18 修回日期:2013-01-07 出版日期:2013-06-01
  • 通信作者: 王祖莉

Nursing Countermeasures of Uterine Artery Embolization in Treating Postpartum Hemorrhage

Xue LIU1, Qiong FAN2, Zu-li WANG1()   

  1. 1. Department of Radiology, West China Second University Hospital, Chengdu 610041, Sichuan Province, China
  • Received:2012-11-18 Revised:2013-01-07 Published:2013-06-01
  • Corresponding author: Zu-li WANG
  • About author:
    (Corresponding author: WANG Zu-li, Email: )
引用本文:

刘雪, 樊琼, 王祖莉. 子宫动脉栓塞术治疗难治性产后出血的护理策略[J]. 中华妇幼临床医学杂志(电子版), 2013, 09(03): 349-352.

Xue LIU, Qiong FAN, Zu-li WANG. Nursing Countermeasures of Uterine Artery Embolization in Treating Postpartum Hemorrhage[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2013, 09(03): 349-352.

目的

探讨子宫动脉栓塞术(UAE)治疗难治性产后出血(PPH)的术后护理策略。

方法

选择2010年9月至2012年10月,本院收治的因难治性PPH经抗休克、扩容及止血等保守治疗无效,转行UAE的患者30例为研究对象,年龄为21~38岁(本研究遵循的程序符合本院人体试验委员会制定的伦理学标准,得到该委员会批准)。观察其经UAE治疗后的疗效及术后护理的重要性。

结果

本组患者手术时间为(32~87)min,平均为(50±23) min,术后子宫动脉选择性造影提示所有患者均一次性栓塞成功,成功率为100.00%。30例患者中,28例(93.33%)出血停止,2例(6.67%)出血量减少,术后7 d无一例患者发生术后大出血。

结论

使用UAE治疗难治性PPH具有创伤小、疗效确切、安全及可保留生育功能等优点,而UAE治疗术后的积极护理有助于患者康复。

Objective

To investigate nursing countermeasures of uterine artery embolization (UAE) in treating intractable postpartum hemorrhage(PPH).

Methods

From September 2010 to October 2012, a total of 30 cases with intractable PPH underwent UAE were included into this study. All the cases had ineffective treatment by anti-shock, expansion, bleeding and other conservative therapy. The clinical effects of operation and nursing countermeasures were observed. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of West China Second University Hospital. Informed consent was obtained from all participates.

Results

The operation time was (32-87) min, and the operation successful rate was 100.00% (30/30), and all the patients reserved uterus successfully. Among 30 cases, bleeding were successfully controlled in 28 cases (93.33%), no serious complications happened within 7 days after operation.

Conclusions

UAE is a safe and effective therapeutic measure for treating intractable PPH, which is helpful for the rehabilitation.

[1]
Liu XH, Chen M. Postpartum hemorrhage induced by placenta factor[J/CD]. Chin J Obstet Gynecol Pediatr: Electron Ed, 2011, 7(6):521-523.
[2]
Liu HQ. Progress of interventional treatment of intractable postpartum hemorrhage[J]. Contemp Med, 2010, 16(5):117-118.
[3]
Cao S. Clinical application of selective uterine artery embolization in the diagnosis and treatment of intractable postpartum hemorrhage[J]. J Med Theory Pract, 2010, 23(2):193-194.
[4]
Cao YY, Zhu J, Huang Y, et al. Emergency uterine artery embolization in the treatment of uterine incision pregnancy bleeding[J]. Huaxi Med, 2012, 27(11):1664-1666.
[5]
Yang ML, Yang GL, Feng DP, et al. Uterine artery embolization in the treatment of ectopic pregnancy[J]. Chin J Intervent Imag Therapy, 2012, 9(12):851-853.
[6]
Liang YE, Cai MJ, He WL. Interventional nursing of uterine artery embolization in treating postpartum hemorrhage[J]. China Foreign Med Treat, 2012, 17:3-4.
[7]
Bi FL, Sun HX. Assessing the clinical efficacy of dysfunctional uterine bleeding with superselective uterine artery embolization[J]. Chin J Minim Invasive Surg, 2009, 9(10):899-900.
[8]
Xie B, Tan YL, Zhang Y, et al. Clinical observation on uterine arterial embolization treatment for uterus massive hemorrhage[J]. Chin J Gen Pract, 2009, 7(12):1289-1290.
[9]
Zhang XG, Cao XC. Application of interventional therapy to hemorrhage owing to imcomplete abortion[J]. J Tianjin Med Univ, 2010, 16(1):160-162.
[10]
Li YH, Chen XQ, Huang FY, et al. Uterine artery embolization combined with methotrexate in the treatment of placenta accrete[J]. Mod Med Health, 2012, 26(8):1220-1221.
[11]
Wang YD, Yang P, Li RF, et al. Uterine artery embolization in the treatment of severe postpartum hemorrhage[J]. Chin J Clin Healthcare, 2010, 13(3):314-315.
[12]
Wang CF, Zhang HP, Zhang HX, et al. Uterine artery embolization for post partum hemorrhage caused by placenta increta[J]. J Clin Radiol, 2012, 29(7):951-954.
[13]
Wu J, Huang YJ. Percutaneous bilateral uterine artery embolization in the treatment of postpartum hemorrhage[J].J Nurses Training, 2012, 27(23):2201-2203.
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