切换至 "中华医学电子期刊资源库"

中华产科急救电子杂志 ›› 2022, Vol. 11 ›› Issue (04) : 198 -201. doi: 10.3877/cma.j.issn.2095-3259.2022.04.002

专家论坛

预防产后出血关口前移的策略
黄畅晓1, 李力1,()   
  1. 1. 400042 重庆,陆军军医大学大坪医院妇产科中心
  • 收稿日期:2022-07-28 出版日期:2022-11-18
  • 通信作者: 李力

Suggestion for preventing postpartum hemorrhage from moving forward

Changxiao Huang1, Li Li1()   

  • Received:2022-07-28 Published:2022-11-18
  • Corresponding author: Li Li
引用本文:

黄畅晓, 李力. 预防产后出血关口前移的策略[J]. 中华产科急救电子杂志, 2022, 11(04): 198-201.

Changxiao Huang, Li Li. Suggestion for preventing postpartum hemorrhage from moving forward[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2022, 11(04): 198-201.

产后出血是我国乃至全世界孕产妇死亡的首位原因,但大多数是可避免的。产后出血的评估不足、孕期管理不当等均可能导致惨痛结局。从胎儿娩出后开始预防产后出血可起到预防产后出血的重要作用,但关口前移才是预防产后出血的关键。预防产后出血的关口前移究竟应在哪个阶段目前尚无定论。本文就预防产后出血关口前移提出的相关策略做出总结,以期共同关注。

Postpartum hemorrhage is the important cause of maternal death in China and the world, but most are preventable. Poor evaluation and mismanagement of pregnancy can lead to tragic outcomes. Suitable management after fetal delivery plays an important role in the prevention of postpartum hemorrhage, but the key is to move forward. At present, it is still controversial which stage should be the threshold of postpartum hemorrhage prevention. This tissue summarizes strategies for preventing postpartum hemorrhage in order to attract common attention.

[1]
Bienstock JL, Eke AC, Hueppchen NA. Postpartum Hemorrhage[J]. N Engl J Med, 2021,384(17):1635-1645.
[2]
Committee on Practice Bulletins-Obstetrics. Practice Bulletin No.183: Postpartum Hemorrhage [J]. Obstet Gynecol2017,130(4):e168-e186.
[3]
Andrikopoulou M, D′Alton ME. Postpartum hemorrhage: early identification challenges [J]. Semin Perinatol, 2019, 43(1):11-17.
[4]
马宏伟,刘兴会. 再谈产后出血的预防与急救处理 [J]. 实用妇产科杂志2022, 38(1):10-12.
[5]
WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage [M]. Geneva: World Health Organization, 2012:1-48.
[6]
刘兴会,陈锰. 降低中国可避免的孕产妇死亡 [J]. 中国实用妇科与产科杂志2020,36(1):54-56.
[7]
Yang Y, He J, Deng N. Factors Associated with Primary Postpartum Hemorrhage in Elderly Women Undergoing Repeated Cesarean Deliveries [J]. Int J Womens Health, 2021,13:1261-1267.
[8]
Jayakumaran JS, Schuster M, Ananth CV. Postpartum hemorrhage and its risk of maternal deaths in the US [J]. American Journal of Obstetrics and Gynecology, 2020, 222(1):S178-S179.
[9]
Ende HB, Lozada MJ, Chestnut DH, et al. Risk Factors for Atonic Postpartum Hemorrhage: A Systematic Review and Meta-analysis [J]. Obstet Gynecol2021,137(2):305-323..
[10]
廖伟年,张津坤,李力. 产后出血转诊与救治研究进展 [J].中国计划生育和妇产科2018, 10(2):4-8.
[11]
黄畅晓,李力.产后出血预防中存在的问题及管理策略 [J].中国计划生育和妇产科2022,14(4):23-25.
[12]
Gilbert L, Gross J, Lanzi S, et al. How diet, physical activity and psychosocial well-being interact in women with gestational diabetes mellitus: an integrative review [J]. BMC Pregnancy Childbirth, 2019,19(1):1-16.
[13]
Jung J, Rahman MM, Rahman MS, et al. Effects of hemoglobin levels during pregnancy on adverse maternal and infant outcomes: a systematic review and meta-analysis[J]. Ann N Y Acad Sci, 2019,450(1):69-82.
[14]
冯蜀欢,缪慧娴,吕鑫,等. 上海市危重孕产妇会诊抢救中心(仁济医院)12年孕产妇死亡病例分析[J].中国实用妇科与产科杂志2020, 36(10):976-981.
[15]
Muñoz M, Stensballe J, Ducloy-Bouthors AS, et al. Patient blood management in obstetrics: prevention and treatment of postpartum haemorrhage. a NATA consensus statement [J]. Blood Transfus, 2019, 17(2): 112-136.
[16]
Wei CN, Deng JL, Dong JH, et al. The Median Effective Dose of Oxytocin Needed to Prevent Uterine Atony During Cesarean Delivery in Elderly Parturients [J]. Drug Des Devel Ther, 2020,14:5451-5458.
[17]
Berkley EM, Abuhamad A. Imaging of Placenta Accreta Spectrum [J]. Clin Obstet Gynecol, 2018, 61(4):755-765.
[18]
Jauniaux E, Moffett A, Burton GJ. Placental Implantation Disorders [J]. Obstet Gynecol Clin North Am, 2020,47(1):117-132.
[19]
Siricilla S, Iwueke CC, Herington JL. Drug discovery strategies for the identification of novel regulators of uterine contractility [J]. Curr Opin Physiol, 2020,13:71-86.
[20]
Lee HL, Lu KC, Foo J, et al. Different impacts of various tocolytic agents on increased risk of postoperative hemorrhage in preterm labor women undergoing cesarean delivery: a population-based cohort study [J]. Medicine (Baltimore), 2020,99(50):1-7.
[21]
刘兴会,陈锰. 基于大数据的产后出血临床处理 [J]. 中国实用妇科与产科杂志2018, 34(1):33-37.
[1] 刘欢颜, 华扬, 贾凌云, 赵新宇, 刘蓓蓓. 颈内动脉闭塞病变管腔结构和血流动力学特征分析[J]. 中华医学超声杂志(电子版), 2023, 20(08): 809-815.
[2] 马艳波, 华扬, 刘桂梅, 孟秀峰, 崔立平. 中青年人颈动脉粥样硬化病变的相关危险因素分析[J]. 中华医学超声杂志(电子版), 2023, 20(08): 822-826.
[3] 黄应雄, 叶子, 蒋鹏, 詹红, 姚陈, 崔冀. 急性肠系膜静脉血栓形成致透壁性肠坏死的临床危险因素分析[J]. 中华普通外科学文献(电子版), 2023, 17(06): 413-421.
[4] 张再博, 王冰雨, 焦志凯, 檀碧波. 胃癌术后下肢深静脉血栓危险因素的Meta分析[J]. 中华普通外科学文献(电子版), 2023, 17(06): 475-480.
[5] 唐旭, 韩冰, 刘威, 陈茹星. 结直肠癌根治术后隐匿性肝转移危险因素分析及预测模型构建[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 16-20.
[6] 吴方园, 孙霞, 林昌锋, 张震生. HBV相关肝硬化合并急性上消化道出血的危险因素分析[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 45-47.
[7] 陈旭渊, 罗仕云, 李文忠, 李毅. 腺源性肛瘘经手术治疗后创面愈合困难的危险因素分析[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 82-85.
[8] 晏晴艳, 雍晓梅, 罗洪, 杜敏. 成都地区老年转移性乳腺癌的预后及生存因素研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 636-638.
[9] 莫闲, 杨闯. 肝硬化患者并发门静脉血栓危险因素的Meta分析[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 678-683.
[10] 倪文凯, 齐翀, 许小丹, 周燮程, 殷庆章, 蔡元坤. 结直肠癌患者术后发生延迟性肠麻痹的影响因素分析[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 484-489.
[11] 侯超, 潘美辰, 吴文明, 黄兴广, 李翔, 程凌雪, 朱玉轩, 李文波. 早期食管癌及上皮内瘤变内镜黏膜下剥离术后食管狭窄的危险因素[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 383-387.
[12] 张雯, 宋牡丹, 邓雪婷, 张云. 强化营养支持辅助奥曲肽治疗肝硬化合并食管胃底静脉曲张破裂出血的疗效及再出血危险因素[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 456-460.
[13] 陆猛桂, 黄斌, 李秋林, 何媛梅. 蜂蛰伤患者发生多器官功能障碍综合征的危险因素分析[J]. 中华临床医师杂志(电子版), 2023, 17(9): 1010-1015.
[14] 李达, 张大涯, 陈润祥, 张晓冬, 黄士美, 陈晨, 曾凡, 陈世锔, 白飞虎. 海南省东方市幽门螺杆菌感染现状的调查与相关危险因素分析[J]. 中华临床医师杂志(电子版), 2023, 17(08): 858-864.
[15] 李琪, 黄钟莹, 袁平, 关振鹏. 基于某三级医院的ICU多重耐药菌医院感染影响因素的分析[J]. 中华临床医师杂志(电子版), 2023, 17(07): 777-782.
阅读次数
全文


摘要