ผลการรักษาผู้ป่วยตกเลือดหลังคลอดโดย Foley Catheter Ballooning Tamponade ในโรงพยาบาลสมเด็จพระสังฆราชองค์ที่ 17

ผู้แต่ง

  • Somkid Suriyalert, M.D. โรงพยาบาลสมเด็จพระสังฆราชองค์ที่ 17 จังหวัดสุพรรณบุรี
  • Somluck Sangkarat โรงพยาบาลสมเด็จพระสังฆราชองค์ที่ 17 จังหวัดสุพรรณบุรี

บทคัดย่อ

     A Crossectional Analytical study was performed by collection of the data from 50 cases with postpartum hemorrhage (PPH) in Somdejprasangkharaj 17th  hospital from October 1st , 2000 to September 30, 2006. The overall of PPH rate was 0.50%, all cases were immediate PPH. The most common cause of PPH in this study was uterine atony (64%). This population were divided into 2 groups. The first group was treated by Foley catheter ballooning tamponade (22 cases) and the second group was treated by the standard treatment (28 cases). All of the cases were primarily treated by early detection, rapidly resuscitation, retaining of Foley catheter and availability of Oxytocic drugs, Methylergonovine and Salprostone parenteral., Then the causes of PPH. such as laceration of birth canal, ruptured uterus and retaining of placenta were examined because these causes could be treated. lf the causes of PPH couldn’t find, the retaining of Foley catheter ballooning tamponade was use in the first group or the surgical intervention such as Subtotal-hysterectomy or Hypogastric ligation was used in the second group. The outcome of the study : The retaining of Foley catheter ballooning tamponade (group 1) can’t decrease the day of admission, but it can decrease significantly the amount of blood loss (23%) and blood transfusion (56%). The Chi-square test was used to proof that the 2 procedures of treatment were significantly correlated to the rate of Subtotal-hysterectomy in PPH, no case in the first group and 5 cases in the second group. This procedure was used in 2 cesarean section cases and didn’t have any rupture at surgical wound site. ln conclusion, this procedure is effective and easy, no requirement of expertised personel so it is appropriate for the hospital which don’t have any effective blood bank and effective team work.

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เผยแพร่แล้ว

2018-07-03