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目的:观察宫腔内水囊压迫治疗产后严重子宫下段出血的疗效。方法:采用自制水囊治疗3例中央性前置胎盘剖宫产术后及1例经阴分娩产后严重子宫下段出血患者,观察其疗效。结果:经阴道放置水囊后,注射生理盐水200～500ml,子宫下段出血停止,超声观察示宫腔内无出血。24h取出,无一例发生再出血,成功率100%。结论:宫腔内水囊压迫用于治疗中央性前置胎盘剖宫产术后及经阴分娩产后严重子宫下段出血疗效好,避免了子宫切除,且操作方便、经济,适宜应用于各级医院。
Objective: To observe the curative effect of intrauterine compression of water sac to treat postpartum severe uterine bleeding. Methods: Three cases of central placenta previa cesarean section and one case of postpartum severe uterine bleeding after vaginal delivery were treated with self-made water sac. The curative effect was observed. Results: After transvaginal placement of the balloon, normal saline was infused 200 ~ 500ml, bleeding in the lower uterine segment was stopped and no intrauterine bleeding was observed by ultrasound. 24h removed, no case of rebleeding, the success rate of 100%. Conclusion: Intrauterine balloon compression for the treatment of central placenta previa and cesarean section after vaginal delivery of severe uterine bleeding, to avoid the hysterectomy, and easy to operate, economical, suitable for all levels of hospitals .