16 diagnostico y tratamiento hemorragia posparto

7/24/2019 16 Diagnostico y Tratamiento Hemorragia Posparto

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III Curso SEGO R2 - Bilbao 16/01/14

Dr. Juan Carlos Melchor 1

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Compresinde la aorta

Palpacin delpulso femoral

http://www.nacer.udea.edu.co


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Baln de Bakri

300-500 ml

salino

Bakri YN. Tamponade-balloon for obstetrical bleeding.Int J Gynaecol Obstet 2001;74:139-42.

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43 casos. Baln Bakri (31 vaginales, 12 cesreas)


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Post-embolizacin con gelfoam de lasarterias ilacas internas. Se observa la

oclusin de la arteria uterina y la disminucin

de la vascularizacin del tero.

Angiograma arteria ilaca derecha.Paciente con hemorragia posparto.

Arteria uterina hipertrofiada (flechas).

Corr P. Arterial embolization for haemorrhage in the obstetric patient.

Best Pract Res Clin Obstet Gynaecol. 2001;15:557-561.

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Ligadura baja

Ligadura alta

OLeary JL. Uterine artery ligation in the control of intractablepostpartum hemorrhage. Am J Obstet Gynecol. 1966;94:920-4.

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Consiste en aplicar puntos de sutura desde laserosa de la cara anterior del tero hasta la

serosa de la cara posterior, en las zonas

sangrantes (aguja recta 10 cms)

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Christopher B-Linch

16 diagnostico y tratamiento hemorragia posparto

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