Emergency embolization of uterine bleeding.docVIP

 PAGE \* MERGEFORMAT 9 Emergency embolization of uterine bleeding Of: Xia Liping Wang Jiwei Tian De tree [Keywords:] Uterine Bleeding Our hospital in October 2005 ~ October 2007 treated 10 patients with uterine bleeding emergency, the application of emergency hemostatic embolization achieved good clinical results, are reviewed as follows. 1 Materials and Methods 1.1 General information on 10 cases of bleeding in patients aged 22 to 35 years old, average 28.5 years old. Causes of bleeding Category: 7 cases of postpartum hemorrhage, bleeding after curettage abortion in 2 cases, 1 case of bleeding after medical abortion. All the cases of different secondary degree of hemorrhagic shock. 1.2 Methods of this group are active rehydration, blood transfusion, anti-shock, oxygen, ECG monitoring, such as indwelling catheter using Seldinger method under preparation, the right femoral artery puncture, placement of vascular sheaths, the choice of 5 F Cobra uterine artery catheter, into the loop after the catheterization of the left internal iliac artery angiography, vascular morphology clearly after uterine artery catheterization angiography, clear the site of bleeding after transcatheter uterine artery with gelatin sponge particles (size about 1 mm × 1 mm embolization, a clear no bleeding, and then select the right iliac artery and uterine artery, the method above. 2 Results 2.1 Angiography and embolization in 8 cases the situation can be seen reflected in the arterial contrast agent in the pelvic cavity of the spillover and aggregation. In a row more obvious contrast extravasation is visible. In contrast the end, when the intravascular contrast agent was completely washed away by blood flow after clearer contrast agent leakage, 2 cases a small amount of blood continued to spill visible. All patients underwent embolization of internal iliac artery angiography showed bilateral occlusion of uterine artery and its branches no development, no signs of co