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      저자 : 장병우 ( Byoung Woo Jang ) (검색결과 1 건)
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        산후출혈처치에 있어 Sengstaken-Blankemore 튜브의 효용성

        남안나 ( An Na Nam ),김경진 ( Kyong Jin Kim ),장병우 ( Byoung Woo Jang ),허성은 ( Seung Eun Hur ),이성기 ( Seong Ki Lee ),길기현 ( Ki Hyun Kil ),안미진 ( Mi Jin Ahn ),이지영 ( Ji Young Lee ) 대한산부인과학회 2006 Obstetrics & Gynecology Science Vol.49 No.11

        Objective: To evaluate the effectiveness and identify the role of interventional procedure of tamponade treatment with modified Sengstaken- Blankemore (S-B) tube on control of postpartum hemorrhage (PPH) unresponsive to conventional medical treatment. Methods: This study was performed retrospectively on the clinical records of 90 patients who had experienced PPH at the department of Obstetrics and Gynecology of OO University Hospital from February, 2000 to September, 2005. We have actively applied tamponade balloon since 2004. As a result, tamponade balloon were applied to 17 patients. Medical records were reviewed such as clinical status, cause of bleeding, volume of balloon, duration of balloon, complication, success rate and additional treatment. Results: We have overall success rate of tamponade balloon in 11 (64.7%) of 17 patients of PPH. The causes of bleeding were subinvolution of uterus (100%), uterine atony (80%) and abnormal placentation (20%) in order of success rate. There was no major complication related to the tamponade procedure. We had compared final treatment during two period (before tamponade use v.s after tamponade use). 15 (33.3%) received invasive procedure and 8 (17.8%) received hysterectomy before tamponade use. However 10 (22.2%) received invasive procedure and just 1 (2.2%) received hysterectomy after tamponade use. Conclusion: Tamponade with modified S-B tube is effective on PPH unresponsive to conventional medical treatment and cuts down additional invasive procedure when tamponade treatment failed.

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