Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2013, Vol. 09 ›› Issue (03): 349 -352. doi: 10.3877/cma.j.issn.1673-5250.2013.03.015

Special Issue:

Original Article

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: )
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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