治疗产后出血的新概念和即兴:对新兴技术的叙述性回顾
G J Hofmeyr1,2
1Department of Obstetrics and Gynaecology, University of Botswana, Notwane Rd, Gaborone, Botswana. justhof@gmail.com.
Reproductive health
|August 11, 2023
概括
新的产后出血治疗方法为临床医生提供了创新的选择. 本综述综合了新的策略,用于在标准方法失败时管理严重出血.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇健康 孕产妇健康
- 手术创新 在外科创新.
背景情况:
- 产后出血 (PPH) 治疗通常缺乏有效性的强有力的证据.
- 对于PPH管理存在许多新的创新,但需要综合.
- 对综合信息的有限访问阻碍了新型PPH策略的临床应用.
研究的目的:
- 编目和综合2020年至2021年期间报告的产后出血新型治疗方法.
- 为临床医生提供关于创新的PPH管理技术的可访问信息.
- 突出PPH对传统疗法的不响应的最后手段选择.
主要方法:
- 在PubMed (2020-2021) 对"产后出血治疗"的系统文献搜索.
- 新闻报告和医疗保健策略的目录.
- 创新的分类,包括诊断工具,药理学剂,机械设备和外科手术技术.
主要成果:
- 创新包括早期诊断,家庭治疗,校准的监测托盘和比较性催产素疗效.
- 新型干预措施包括热稳定的碳素,微针氧化素贴片和安全考虑的素酸.
- 先进的技术包括通过阴道的,创新的子宫气球吸管,吸管装置和先进的复苏方案.
- 外科创新包括栓塞,大动脉封闭,压缩 (例如,埃西克的技术),以及对胎盘形谱的特定修复.
- 技术进步包括细胞救援,聚焦超声波和体外膜氧化.
结论:
- 了解创新的PPH方法为临床医生提供了关键的最后手段选择.
- 有效的PPH管理依赖于对既有和新的干预措施的全面了解.
- 持续的研究和综合证据对于推进PPH护理至关重要.
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