Obstetric bleeding due to penetrating stab-and-cut wounds to the uterus and fetus


如何引用文章

全文:

开放存取 开放存取
受限制的访问 ##reader.subscriptionAccessGranted##
受限制的访问 订阅或者付费存取

详细

Background. The number of publications on injuries during pregnancy is very small. The prevalence of damage to abdominal organs, except for the uterus, with penetrating abdominal wounds is 19%. Wounds and fetal death are seen more frequently (60-90 and 40-70% of cases, respectively). Abdominal injury-associated obstetric bleedings (46%) are considered to be the leading non-obstetric cause of death in pregnant women; and the fetal death rates due to severe injuries is 61% and reaches 80% if the mother has developed shock. Clinical case report. The paper describes a clinical case of a penetrating stab-and-cut uterine wound with fetal injury and the possibility of performing organ-sparing surgery in a patient with severe hemorrhagic shock, disseminated intravascular coagulation syndrome. Conclusion. The experience with the combined method to arrest obstetric bleeding, which is given in this paper, can be used to treat pregnant women with bleeding associated with abdominal traumas, uterine hypotension, and other causes.

全文:

受限制的访问

作者简介

Sergey Barinov

Omsk State Medical University

Email: barinov_omsk@mail.ru
MD, Professor, head of department

Andrey Pisklakov

Omsk State Medical University; Regional Children's Clinical Hospital

Email: pisklakov omsk@mail.ru
MD, Professor, head of the department of Pediatric Surgery

Irina Savelyeva

Omsk State Medical University

Email: saveljeva_iv_omsk@mail.ru
MD, PhD, head of the department

Nataiya Pavlenko

Omsk State Medical University; Regional Children's Clinical Hospital

Email: akusher_omsk@mail.ru
PhD, assistant of the Department of Pediatric Surgery.

Irina Polyanskaya

Omsk State Medical University

Email: Irpoll9@mail.ru
PhD, assistant professor of the Department of Obstetrics and Gynecology № 1

Natalya Nosova

Omsk State Medical University

Email: Natalya-nosova-85@mail.ru
assistant of the Department of Obstetrics and Gynecology №1

参考

  1. Каримов З.Д., Жабборов У.У., Абдикулов Б.С., Хусанходжаева М.Т. Травмы у беременных: современные аспекты проблемы (обзор литературы). Журнал имени Н.В. Склифосовского «Неотложная медицинская помощь». 2013; 1: 33-7
  2. El-Kady D., Gilbert W.M., Xing G., Smith L.H. Maternal and neonatal outcomes of assaults during pregnancy. Obstet. Gynecol. 2005; 105(2): 357-63.
  3. Awwad J.T., Azar G.B., Seoud M.A., Mroueh A.M., Karam K.S. High-velocity penetrating wounds of the gravid uterus: review of 16 years of civil war. Obstet. Gynecol. 1994; 83(2): 259-64.
  4. Stone I.K. Trauma in the obstetric patient. Obstet. Gynecol. Clin. North. Am. 1999; 26(3): 459-67.
  5. Rajpal G., Pomerantz J.M., Ragni M.V., Waters J.H., Vallejo M.C. The use of throm-boelastography for the peripartum management of a patient with platelet storage pool disorder. Int. J. Obstet. Anesth. 2011; 20(2): 173-7.
  6. Weisbrod A.B., Sheppard F.R., Chernofsky M.R., Blankenship C.L., Gage F., Wind G. et al. Emergent management of postpartum hemorrhage for the general and acute care surgeon. World J. Emerg. Surg. 2009; 4: 43.
  7. Cheong J.Y., Kong T.W., Son J.H., Won J.H., Yang J.I., Kim H.S. Outcome of pelvic arterial embolization for postpartum hemorrhage: A retrospective review of 117 cases. Obstet. Gynecol. Sci. 2014; 57(1): 17-27.
  8. Cho H.Y., Park Y.W., Kim Y.H., Jung I., Kwon J.Y. Efficacy of intrauterine Bakri balloon tamponade in cesarean section for placenta previa patients. PLoS One. 2015; 10(8): e0134282.
  9. Revert M., Rozenberg P., Cottenet J., Quantin C. Intrauterine balloon tamponade for severe postpartum hemorrhage. Obstet. Gynecol. 2018; 131(1): 143-9.
  10. Kavak S.B., Kavak E.C., Demirel I., Ilhan R. Double-balloon tamponade in the management of postpartum hemorrhage: a case series. Ther. Clin. Risk Manag. 2014; 10: 615-20.
  11. Приказ МЗ РФ № 572н. от 01 ноября 2012г. «Порядок оказания медицинской помощи по профилю «Акушерство и гинекология (за исключением использования вспомогательных репродуктивных технологий)».

补充文件

附件文件
动作
1. JATS XML
下载

版权所有 © Bionika Media, 2019
##common.cookie##