Late postpartum hemorrhage after cesarean section Interventional embolization.docVIP

 PAGE \* MERGEFORMAT 8 Late postpartum hemorrhage after cesarean section Interventional embolization Authors: Zhao silver, Caogui Rong, Yang Xiang-lian, Luo Yi [Keywords:] cesarean section; embolization; postpartum hemorrhage Late postpartum hemorrhage is a major complication of obstetrics, one of the area, the patient often due to excessive blood loss and shock, and even life-threatening. In recent years, with the increasing cesarean section, postpartum hemorrhage after cesarean section the incidence of late has also increased. How to timely and accurate treatment of severe late postpartum hemorrhage is the clinician’s concern. Since our hospital between 2003-2006 were treated eight cases of late postpartum hemorrhage after cesarean section patients with selective pelvic arterial embolization achieved satisfactory results, are reported below. 1 Data and methods 1.1 Clinical data 8 cases of late postpartum hemorrhage by conservative treatment and patients were ineffective interventional embolization, aged 22 to 34 years old, with an average 27-year-old primipara in 6 cases, by mothers in 2 cases. In our hospital after cesarean section in 2 cases, outside the hospital cesarean section in 6 cases, bleeding time of the earliest post-natal 7 d, the latest for the post-natal 50 d, the amount of bleeding for at least 1 000 mL, up to 3 500 mL, occurring hemorrhagic shock 2 cases, secondary disseminated intravascular coagulation (DIC) 1 Li. 1.2 Methods Added blood volume, to correct shock, DSA digital subtraction arteriography under surveillance, using Selinger technical lines on the right femoral artery puncture, respectively, on both sides of the internal iliac artery catheterization and angiography to understand the bleeding site and bleeding artery branch, 2 mm * 2 mm gelatin sponge on both sides of internal iliac artery embolization or uterine artery before the Ganzhi postoperative DSA imaging totally occluded artery, confirming no bleeding after catheter