Archive

02 April 2014, Volume 30 Issue 4 Previous Issue    Next Issue

---

For Selected:

Download Citations EndNote Ris BibTeX

Toggle Thumbnails

Select

How to set up and standardize training system of the treatment of postpartum hemorrhage in China LIU Cai-xia,ZHUANG Yan-yan, LIU Shi-shi 2014, 30(4): 249-251.  Abstract ( )   PDF (852KB) ( )   Abstract：Postpartum hemorrhage is a leading cause of maternal death in China. Early detection and treatment of postpartum hemorrhage play a key role in reducing maternal mortality rate. According to the diagnosis and treatment status of postpartum hemorrhage, the establishment of long-term, standard, multidisciplinary joint training system for prevention and control of postpartum hemorrhage, in order to improve the obstetric medical staff awareness of postpartum bleeding treatment. 

Select

Prediction and prevention of postpartum hemorrhage in women with high-risk pregnancies YU Lin,CHEN Dun-jin 2014, 30(4): 251-254.  Abstract ( )   PDF (872KB) ( )   Abstract：Postpartum hemorrhage is still the first factor of global maternal deathsl.Weakness of uterine contraction, placenta residue, soft birth canal injury,and coagulation function dysfunction are the common causes. BMI > 25.9 before delivery, anemia, palace high > 34.5 cm,age>35years, and scarred uterus are all the clinical early warning information of postpartum hemorrhage. In order to reduce the occurrence of postpartum hemorrhage, we should take timely targeted preventive measures to these pregnant women with high risks.

Select

The accuracy of blood loss estimation and the early identification of postpartum hemorrhage. Qi Hong-bo,JIA Xiao-yan 2014, 30(4): 254-256.  Abstract ( )   PDF (856KB) ( )   Abstract:It is great helpful for prevention and management of postpartum hemorrhage to identify postpartum hemorrhage early and estimate the blood loss exactly. Postpartum hemorrhage identification includes the risk factors of postpartum hemorrhage and the early identification of postpartum hemorrhage. The gravimetric, volume estimation and shock index are the common methods of blood loss estimation.

Select

Precautions of postpartum hemorrhage caused by pernicious placenta previa LU Si-si,ZOU Li 2014, 30(4): 256-259.  Abstract ( )   PDF (870KB) ( )   Abstract：Pernicious placenta previa can lead to severe postpartum hemorrhage, which needs emergency hysterectomy or threatens patient’s life.This article describes precautions, which includes antinatal diagnosis, preoperative preparation, hemostasia methods in the operations and management after operation. 

Select

The precaution and early warning of postpartum hemorrhage after vaginal delivery and cesarean section. SUN Li-zhou,YANG Na-na,LIU Li-ping 2014, 30(4): 259-262.  Abstract ( )   PDF (865KB) ( )   Abstract:Postpartum hemorrhage (PPH) is one of the common and serious obstetric complications and a leading cause of maternal morbidity and mortality．All of the obstetricians should identify the factors associated with PPH before delivery and take prophylactic measures to reduce the incidence rate of PPH.

Select

Medication of postpartum hemorrhage FU Chen-wei, LIU Jun-tao 2014, 30(4): 262-265.  Abstract ( )   PDF (867KB) ( )   Abstract:Postpartum hemorrhage (PPH) is the leading cause of maternal mortality. The four Ts of PPH are Tone, Trauma, Tissue and Thrombin. Etiological treatment is the essential treatment. Uterotonic therapy is the most important medication of postpartum hemorrhage. The successful management of uterine atony will depend on the proper usage of the tocolytic agents, such as oxytocin, carboprost and misoprostol. Uterine packing and uterine artery embolism might be useful if the usage of tocolytic agents is not effective.

Select

Conservative surgical management of postpartum hemorrhage. DING Jian*,LIAN Yan*,WANG Xie-tong 2014, 30(4): 265-271.  Abstract ( )   PDF (891KB) ( )   Abstract：Postpartum hemorrhage (PPH) is one of the leading causes of maternal morbidity and mortality worldwide. When PPH is unresponsive to medication or uterine massage, conservative surgical intervention（uterine reserved） is necessary.These surgical interventions include arterial ligation, intrauterine tamponade techniques and uterine compression suture (such as Cho suture and B-Lynch which is a milestone in the conservative surgical treatment of PPH).However each technique has both merits and drawbacks,obstetricians must be aware of the cause of the PPH and the indication of various technique.

Select

Surgery treatment of postpartum hemorrhage of refractoriness XU Huan, LI Xiao-tian 2014, 30(4): 272-274.  Abstract ( )   PDF (853KB) ( )   Abstract：Postpartum hemorrhage of refractoriness continues to be the leading cause of maternal mortality. When the conservative treatment strategies fail, emergency peripartum hysterectomy has been regard as a life-saving procedure in severe postpartum obstetric hemorrhage. Mastering the indications, opportunity and operation methods of emergency peripartum hysterectomy can reduce the maternal morbidity and mortality.

Select

Massive blood transfusion strategy in obstetrics YU Cheng-hua, SONG Wei-wei 2014, 30(4): 274-276.  Abstract ( )   PDF (861KB) ( )   Abstract：Postpartum hemorrhage is always the major cause for patients with massive blood loss which endangered the lives of pregnant women.Massive transfusion may save their lives. The purposes of massive blood transfusion are adding the oxygen carrying capacity and hemostatic function of blood after volume expansion. Massive blood transfusion strategy advocates a limited fluid resuscitation, to use red blood cells in time, to use plasma early and adequate,to infuse platelets prophylactic, to supply fibrogen and cryoprecipitate. Drugs also can be used as an alternate strategy to stop bleeding. Pay attention to the complications of massive blood transfusion.

Select

Risk factors and prevention of secondary postpartum hemorrhage ZHOU Li, FAN Ling 2014, 30(4): 276-279.  Abstract ( )   PDF (867KB) ( )   Abstract:Secondary postpartum hemorrhages of the common risk factors are mainly the placenta, fetal membrane residues,uterus subinvolution, placental abnormality, cesarean section incision dehiscence or surgical injury, etc. The main precautions:postpartum carefully check whether the placenta, fetal membrane integrity. Strictly grasp the cesarean delivery charges, should choose the uterus incision sutura according to the anatomical structure layers. Interventional diagnosis technology in the aspect of late postpartum hemorrhage has the dual role of diagnosis and treatment.

Select

Construction and characteristics of digital 3D model of uterine fibroid arterial vascular network CHEN Chun-lin, TANG Yi-xin, LIU Ping, DUAN Hui, WANG Li, CHEN Lan, WANG Jun 2014, 30(4): 280-284.  Abstract ( )   PDF (862KB) ( )   Abstract:Objective To analysis the characteristics of blood supply to the uterus and uterine fibroid by using of the digital 3D model of arterial vascular network of uterine myoma based on the CT angiography(CTA) data. Methods Selected 72 patients with uterine fibroids performed dual-source CT in Nanfang Hospital sequentially. The model of uterine fibroid digital 3D arterial vascular network was reconstructed with Mimics 10.01 software. Adjust the threshold of the model gradually in order to change the density of vascularity and analysis the characteristics of vascular network. Results 72 digital 3D models of uterine fibroid arterial vascular network were reconstructed, it reveals uterine artery, vascular network of myometrium and uterine fibroid clearly. Positions between vascular network of intramural fibroid, subserosal fibroid, or submucosal fibroid and that of uterus were different, outline of subserosal fibroids vascular network was the most clearly. There was special type of fibroid vascular network in the models. Conclusion Vascular network of myometrium and uterine fibroid can be identified successfully by using of the digital 3D model of arterial vascular network of uterine myoma based on the CTA. The model provides useful reference for the preoperative evaluation and the teaching in clinical practice. 