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目的探讨宫腔填塞Bakri球囊在产后出血中的止血效果。方法回顾性分析2013—2014年在福建省妇幼保健院分娩并发产后出血行宫腔填塞Bakri球囊患者12例的疗效。结果采用Bakri球囊止血的12例产后出血患者,11例有产科并发症或合并症,平均30.9岁;初产妇4例,经产妇8例;剖宫产9例,阴道分娩3例,产后平均出血1 414.2mL。有6例输入血液制品,平均输血580mL。12例经Bakri球囊填塞宫腔后血止,无子宫切除及并发感染,患者取出球囊后均未再出血。结论产后出血时采用宫腔填塞Bakri球囊止血,其操作简单、快速,止血效果好,值得推广。
Objective To investigate the hemostatic effect of intrauterine packing Bakri balloon in postpartum hemorrhage. Methods The clinical data of 12 cases of Bakri balloon with or without intrauterine delivery during 2013-2014 in Fujian Maternal and Child Health Hospital were retrospectively analyzed. Results 12 cases of postpartum hemorrhage with Bakri balloon hemostasis, 11 cases with obstetric complications or complications, an average of 30.9 years; 4 cases of primipara, maternal 8 cases; 9 cases of cesarean section, 3 cases of vaginal delivery, postpartum average Bleeding 1 414.2 mL. There are 6 cases of blood products, the average blood transfusion 580mL. Twelve cases were treated with Bakri balloon-stuffed uterine blood, 12 cases without hysterectomy and concurrent infection, and no bleeding was found after the balloon was removed. Conclusion Postpartum hemorrhage using intrauterine packing Bakri balloon hemostasis, the operation is simple, fast, hemostatic effect, it is worth promoting.