蔺瑾吴帆成佳景吴逸刘仕英钱春妹（1. 云南省第三人民医院妇产科 云南 650011；. 同济大学附属第十人民医院妇产科 上海 0007）

双腔水囊在治疗产后出血中的应用

蔺瑾1*吴帆2**成佳景2吴逸2刘仕英2钱春妹2
（1. 云南省第三人民医院妇产科 云南 650011；2. 同济大学附属第十人民医院妇产科 上海 200072）

摘 要目的：探讨双腔水囊压迫治疗产后出血的临床疗效。方法：选取2010年9月-2014年8月产后出血患者120例，随机分为观察组和对照组各60例。所有患者给予缩宫素和其他常规止血治疗，观察组在此基础上给予简易双腔水囊压迫止血，观察两组产后出血量、止血时间及住院日。结果：观察组产后出血量、止血时间和住院日均较对照组显著降低（P＜0.05）。结论：双腔水囊压迫止血简单易行，疗效可靠并且节约资源。

关键词产后出血 双腔水囊 压迫止血

Application of double lumen balloon in the treatment of postpartum hemorrhage

LIN Jin1*, WU Fan2**, CHENG Jiajing2, WU Yi2, LIU Shiying2, QIAN Chunmei2
(1. Department of Gynecology and Obstetrics, the Third People’s Hospital of Yunnan Province, Yunnan 650011, China; 2. Department of Gynecology and Obstetrics, Shanghai the Tenth People’s Hospital, Tongji University, Shanghai 200072, China)

ABSTRACTObjective: To investigate the clinical effect of double lumen balloon on postpartum hemorrhage. Methods: One hundred and twenty cases of patients with postpartum hemorrhage during September, 2010 to August, 2014 were randomly divided into an observation group and a control group with 60 cases each. Oxytocin and other treatment were applied in two groups and in addition, double lumen balloon was applied in the observation group. Bleeding volume, hemostasis time and hospitalization time were observed. Results: The indications mentioned above were significantly less in the observation group than in the control group (P<0.05). Conclusion: Double lumen balloon is easy to be used with reliable curative effect and low cost.

KEY WORDSpostpartum hemorrhage; double lumen balloon; compression hemostasis

产后出血是分娩期常见的危及产妇健康甚至生命的产科最严重并发症，占分娩总数的1.4%[1]，也是孕产妇死亡最常见的原因，子宫收缩乏力、前置胎盘、胎盘粘连等是造成产后出血的常见原因[2-3]。及时有效地控制产后出血是降低产妇病死率的关键，是产科医生必须掌握的技术[4-5]。为减少出血，保留子宫，抢救患者生命及提高患者生活质量，采取快捷、简单、易操作且有效的治疗措施是有必要的[6]。我科对60例产后出血的患者采用了双腔水囊填塞宫腔压迫止血收到了较好效果，其操作简便、安全、快速、有效，是一种处理产后出血的行之有效的方法，也是作为难治性产后出血行子宫切除前的一个保守性治疗措施。……