Research progress on the treatment methods for postpartum hemorrhage caused by uterine atony
Postpartum hemorrhage is an important cause of maternal mortality.The postpartum hemorrhage are mainly caused by uterine atony.Therefore,it is very important to anticipate and deal with uterine atony in time,which can reduce the incidence of maternal death and serious complications.Postpartum hemorrhage caused by uterine atony can be treated with drug therapy(oxytocin and carketocin,ergot alkaloids,prostaglandins agents,pituitrin and motherwort),intrauterine gauze tamponade,rehydration,blood transfusions,massage,uterine balloon tamponade,B-Lynch suture,pelvic vein ligation,transcatheter arterial embolization,hysterectomy and other methods.The treatment should follow the principle of"non-invasive first,invasive later".Postpartum hemorrhage caused by uterine atony use first-line contraction-promoting drugs with massage,if the contraction is not good enough,it can be added with drug treatment.During rescue,collaborative treatment among various departments and multidisciplinary cooperation should be carried out.At the same time,venous access should be established,blood products should be provided to patients in time,and fluids should be replenished reasonably.If conditions permit,autologous blood can be stored during pregnancy and then retransfusion can be carried out.If the patient's vital signs are stable,intra uterine balloon tamponade,intrauterine gauze tamponade,pelvic vascular ligation,B-Lynch suture and other conservative treatments can be used according to the situation.Meanwhile,the patient's condition is evaluated and the timing of hysterectomy is grasped,instead of blindly trying to preserve the uterus and lose the opportunity of treatment.This article reviews the research progress of treatment methods for postpartum hemorrhage caused by uterine atony,in order to provide reference for the clinical treatment of patients with postpartum hemorrhage caused by uterine atony.
Postpartum hemorrhage caused by uterine atonyTreatment methodDrug therapyIntrauterine tamponadeB-Lynch suture
万方数据
维普
