中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2022, Vol. 38 ›› Issue (8): 784-787.DOI: 10.19538/j.fk2022080105

• 专题笔谈 • 上一篇    下一篇

软产道裂伤致隐匿性产后出血的早期识别及处理

  

  1. 浙江大学医学院附属妇产科医院，浙江 杭州 310006
  • 出版日期:2022-08-02 发布日期:2022-08-02
  • 通讯作者: 贺晶
  • 基金资助:
    国家自然科学基金（81861128021）

Early identification and management of occult postpartum hemorrhage caused by genital tract laceration. 

  1. Department of Obstetrics and Gynecology，Women’s Hospital，School of Medicine，Zhejiang University，Hangzhou 310006，China
  • Online:2022-08-02 Published:2022-08-02

摘要： 阴道分娩后产后血肿形成存在诸多高危因素。体积较大或类型特殊的生殖道血肿如阔韧带血肿和（或）腹膜后血肿常起病隐匿，难以早期发现，可造成隐匿性产后出血而危及产妇生命。根据血肿部位、大小、是否持续增大、产妇血流动力学的稳定性等，可选择保守治疗、盆腔动脉栓塞治疗或手术治疗。

关键词: 产后出血, 血肿, 软产道裂伤

Abstract: There are many risk factors for the formation of postpartum hematoma after vaginal delivery.Larger vulvovaginal hematomas or special types of hematomas，such as broad ligament hematoma and/or retroperitoneal hematoma，often have occult onset and are difficult to detect early，which can cause occult postpartum hemorrhage and endanger the life of pregnant women.According to the location and size of hematoma，whether it continues to increase，and the stability of maternal hemodynamics，conservative treatment，pelvic artery embolization or surgical treatment can be selected.

Key words: postpartum hemorrhage, hematoma, genital tract laceration

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