过敏性肺炎的临床诊断与治疗.docVIP

精品论文 参考文献 过敏性肺炎的临床诊断与治疗 郭贵平 (山西省忻州市人民医院介入放射科 034000) 【中图分类号】R714.46+1【文献标识码】A【文章编号】1672-5085（2013）03-0153-02 【摘要】 目的 探讨介入治疗在产后出血中的疗效以及评估其临床意义。方法 2005 年 2 月至2012 年1月期间，对 39例经保守治疗无效的产后出血患者，通过数字减影血管造影技术(DSA) 明确出血部位后，实施子宫动脉栓塞介入治疗。结果 31例患者在栓塞后立即停止出血，5 例出血明显减少，经过一周对症治疗后，出血完全停止。3例介入治疗无效，又转为子宫全切。栓塞后6例出现轻度发热，9例出现下腹胀痛，10例出现臀部疼痛，经对症治疗均在一周内得到有效缓解。结论 介入治疗技术相对简单，具有创伤小、止血速度、彻底、可保留子宫的优点，有较高的临床应用价值。 【关键词】 产后出血 介入治疗 Clinical application of interventional therapy for postpartum hemorrhage. GUO gui ping (The People＇s Hospital in Shanxi xinzhou city，xinzhou 034000，China ) 401520，China) 【Abstract】 Objective To investigate the effect of interventional therapy on the puerpera with postpartum hemorrhage and assess its clinical significance.Methods: Chose 39 cases postpartum hemorrhage patients between Feb. 2005 to Jan. 2012 who were failed by conservative management，take uterine arterial embolization interventional therapy after explicit the bleedingpart by DSA.Results: 39 cases of postpartum hemorrhage after interventional therapy bleeding stopped quickly and shock manifestation disappeared. Decreased obviously and disappeared absolutely after 1 week symptomatic treatment in 3 cases.3 cases of interventional treatment is invalid and do total hysterectomy finaly. 6 cases presented with low－grade fever，9 cases with hypogastrium distendingpain and 10 case with buttocks pain, Effective relief after symptomatic treatment. Conclusion: Interventional therapy easy than conservative management. This method provided with several advantage such as small trauma， fast hemostasis and is able to keep uterine，it has a superior clinical applied value. 【Key words】 postpartum hemorrhage interventional therapy 胎儿娩出后24h内阴道流血量超过 500 ml 以上，称为产后出血。分娩24h后在产褥期内发生的子宫大量出血为晚期产后出血。产后出血是产科常见的严重并发症，是孕产妇死亡的主要原因之一，据文献报道，在我国的发生率为2%－3%[1]。产后出血原因为子宫收缩乏力，阴道、宫颈裂伤及胎盘残留，其次为生殖道血肿，子宫裂伤或子宫内翻，胎盘植入及凝血功能障碍等因素。晚期产后出血主要原因为胎盘残留，其次为宫腔感染，子宫复旧不良，剖宫产术后子宫切口裂开或缝合过密等因素。产妇一旦发生产后出血，且保守治疗无效，传统上以血管结扎和子宫切除为最终止血手段，但上述两种方法会给产妇带来较大的生