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目的:探讨凶险型前置胎盘剖宫产术中出血的有效治疗措施。方法:对2009年12月～2011年10月使用卡前列素氨丁三醇加宫腔填塞纱条治疗凶险型前置胎盘剖宫产术中大出血的13例进行回顾性分析。结果:13例中,10例获成功,24h后纱条顺利取出,均无感染或发生晚期产后出血;2例因胎盘完全植入术后行子宫动脉栓塞,1例行子宫切除。结论:卡前列素氨丁三醇加宫腔填塞纱条是治疗凶险型前置胎盘剖宫产术中出血的一种有效方法。
Objective: To investigate the effective treatment of bleeding in cesarean section of dangerous placenta previa. Methods: A retrospective analysis was performed on 13 cases of bleeding in cesarean section of dangerous placenta previa with cardupplementation with trometamol plus intrauterine packing gauze from December 2009 to October 2011. Results: Of the 13 cases, 10 were successful, and the sliver was successfully removed after 24 hours. No infection or late postpartum hemorrhage occurred. Two patients underwent uterine artery embolization after a complete placental implantation. Conclusion: The combination of carboprost trometamol and intrauterine packing gauze is an effective method for the treatment of bleeding in cesarean section of dangerous placenta previa.