Abstract

Objective To study the effect of oppressing with catheter balloon and carboprost tromethamine to prevent hemorrhage caused by central placenta previa during cesarean.Methods The clinical data of 22 cases oppressing with catheter balloon and carboprost tromethamine to prevent hemorrhage caused by central placenta previa during cesarean were analyzed retrospectively.Results Among of 22 cases,17 patients succeeded in haemostasis ＜ 2 000 ml.Catheter balloon was took out after 24 h.No infection and late postpartum hemorrhage.There were 3 uterine artery ligation because of placenta implantation with haemostasis 2 000-3 000 ml,1 uterine artery embolization,1 hysterectomy with haemostasis 4 000 ml because of disseminated intravascular coagulopathy and no maternal died.The patients were given postoperative routine antibiotics for 3-7 d,no infection and late postpartum hemorrhage.Conclusion Oppressing with catheter balloon and carboprost tromethamine is an effective measure to treat hemorrhage caused by central placenta previa during cesarean. Key words: Placenta previa; Postpartum hemorrhage; Carboprost tromethamine; Oppressing with catheter balloon

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