|
|
|
| Analysis of the therapeutic effect and causes of failure of Bakri uterine tamponade with balloon catheterization for hemostasis of women with refractory postpartum hemorrhage |
| The Seventh People's Hospital of Suzhou City, Jiangsu Province, 215151 |
|
|
|
|
Abstract Objective: To explore the clinical efficacy and causes of failure of Bakri uterine tamponade with balloon catheterization. Methods: The clinical data of 102 women with refractory postpartum hemorrhage from August 2016 to August 2018 were retrospective analyzed, and all women had undergone Bakri uterine tamponade with balloon catheterization. The women with successful hemostasis were included in group A, and women with failed hemostasis were included in group B. The general data and surgical conditions of women were compared between the two groups, and the causes of hemostasis failure were analyzed further. Results: In the 102 women, 92 (90.2%) cases were successfully hemostasis and 10 (9.80%) were failed. Before the balloon placement, the average bleeding volume of women in the group A was significant less than that of women in the group B (P<0.05). The rates of transfusion, disseminated intravascular coagulation, and shock of women in the group A were significant lower than those of women in the group B (P<0.05). After balloon placement, the amount of bleeding in 2 hours and total bleeding amount of women in group A were significant less than those of women in group B (P<0.05). In the group B, there were 5 women with placenta implantation, I woman with balloon detachment, 2 women with insufficient injection, and 2 women with the disseminated intravascular coagulation and shock. Conclusion: Bakri uterine tamponade with balloon catheter used in women with refractory postpartum hemorrhage has high effectiveness and high success rate. Placenta implantation, balloon detachment, insufficient fluid injection, disseminated intravascular coagulation and shock failure to correcting maybe the causes of failure for Bakri uterine tamponade.
|
|
|
|
|
|
|
|
|
