Intractable postpartum hemorrhage 23 cases.docVIP

 PAGE \* MERGEFORMAT 9 Intractable postpartum hemorrhage 23 cases Of: Feng Yumin Songfeng Li Zhang Hualin [Abstract] Objective: To investigate the treatment of intractable postpartum hemorrhage and value. Methods: 200307-200807 months, medication, intrauterine iodine gauze packing, B lynch suture, and subtotal hysterectomy and other rescue 23 patients with intractable postpartum hemorrhage The clinical data of patients. Results: All successful rescue. rescued five cases in which drugs, intrauterine iodine gauze packing success 10 cases, B Lynch suture technique successfully in 6 cases, 2 cases with subtotal hysterectomy surgery. Conclusion: in the event of intractable postpartum hemorrhage, the preferred medication, such as invalid, acute intrauterine iodine gauze packing line or B Lynch suture bleeding may play a role in the case of bleeding or bleeding caused by amniotic fluid embolism is difficult to Control of coagulation dysfunction appears to be subtotal hysterectomy. [Keywords:] postpartum hemorrhage; Intrauterine Packing; B Lynch suture [ABSTRACT] Objective: To investigate the therapeutic effects and applications of every different administrative method for stubborn postpartum hemorrhage.Methods: A retrospective study was performed on 23 cases with stubborn postpartum hemorrhage from July 2003 to July 2008.The management included drugs, gauze packing , B Lynch suture technique, and hysterectomy.Results: None of 23 cases died.Among 23 cases in the group, the success cases in arresting postpartum hemorrhage were drugs 5, gauze packing 10, B Lynch suture technique 6, and hysterectomy.Conclusion: When postpartum hemorrhage was encountered, the useful drug should be selected.If this treatment was not effective, emergency gauze packing or B Lynch suture technique could be used and would be more effective.Amniotic fluid embolism and disseminated intravascular coagulation (DIC) should be considered for severely bleeding obstetric patients and should