周捷-产后出血麻醉处理.pptxVIP

产后出血的麻醉处理;Disclosure;Tonight on the Labor Floor…;In the Operating Room…;Objectives;Mortality from Postpartum Hemorrhage; 1995 through 2004 PPH increased by 30% 2.9 % of all deliveries Blood transfusion 2.4 to 4.6 per 1000 (90% increase) Uterine atony: predictable only 40% of cases. ;Cardiac Arrest During Hospitalization For Delivery in the United States, 1998-2011;United Kingdom;Objectives;Postpartum Hemorrhage Defined;Major Postpartum Hemorrhage;Objectives;Challenges of PPH;;The 4 T’s of PPH;Sliver RM et al; Obstet Gynecol 2006; 107(6): 1226-32;An atonic uterus is a bleeding uter