| 刘均喜，陈豪迈，冒晓文，陈贤平.急诊介入栓塞在重度产后出血并弥漫性血管内凝血中的应用.[J].中南医学科学杂志.,2011,39(1):77-80. |
| 急诊介入栓塞在重度产后出血并弥漫性血管内凝血中的应用 |
| Application of Urgent Interventional Embolization in Severe Postpartum Hermorrhage Complitating With DIC |
| 投稿时间：2010-12-15 |
| DOI： |
| 中文关键词: 重度产后出血 栓塞止血 弥散性血管内凝血（DIC） |
| 英文关键词:severe postpartum hermorrhage hemostatsia with embolization DIC |
| 基金项目: |
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| 中文摘要: |
| 目的探讨重度产后出血合并DIC的介入栓塞止血的临床价值。方法本组17例重度产后出血合并DIC患者均行急诊介入栓塞止血，采用超选择髂内动脉前干插管，造影明确诊断后以明胶海绵颗粒栓塞出血动脉。结果插管成功率100%，13（13/17）例栓塞后即刻止血，4（4/17）例逐渐止血，总有效率100%；无严重并发症。结论急诊介入栓塞止血是抢救重度产后出血合并DIC的理想方法，它不但能挽救产妇的生命，而且能保留产妇的子宫，值得推广应用。 |
| 英文摘要: |
| ObjectiveTo investigate the value of interventional embolization in severe postpartum hermorrhage complicated with DIC.Methods17 cases of postpartum hemorrage complicated with DIC were treated with urgent hemostatic embolization.After angiography super selective cathetrization was performed for bilaterd anterior division of interal iliac branch of uterine arteries and embolized with Gelfoam particles.ResultsCatheterization success rate was 100%,immediate block of hemorrhage took place in 13 （13/17） cases and gradual hemostasis appeared in 4 （4/17） cases，the efficacy rate was 100%.ConclusionUrgent arterial emboilzatiom is an ideal method for treating life-threating postpartum hemorrhage complicated with DIC.The procedure saves the maternal uterus and is also effective for postpartum DIC. |
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