剖宫产术后子宫假性动脉瘤致难治性晚期产后出血1例并文献复习

Refractory Late Postpartum Hemorrhage Caused by Uterine Artery Pseudoaneurysms after Cesarean Section: A Case Report and Literature

摘要: 本文回顾性分析一例2次剖宫产手术 + 1次子宫肌瘤剔除术术后，形成子宫假性动脉瘤(uterine artery pseudoaneurysm, UAP)，从而导致难治性晚期产后出血，结合相关文献对其病因、临床表现、诊断、鉴别诊断以及处理方法等进行分析，对此次子宫假性动脉瘤结合临床表现及辅助检查尽早诊断，并及时行介入手术治疗。

Abstract: This paper retrospectively analyzed a case of uterine pseudoaneurysm which was formed after two cesarean and one myomectomy, resulting in refractory late postpartum hemorrhage. The etiology, clinical manifestations, diagnosis, differential diagnosis and treatment were analyzed. The uterine pseudoaneurysm should be diagnosed as soon as possible combined with its clinical manifestations and auxiliary examination and interventional surgery should be performed in time.