系统性红斑狼疮合并产后出血病例分析1例
Analysis of a Case of Systemic Lupus Erythematosus Complicated with Postpartum Hemorrhage
DOI: 10.12677/ACM.2023.131007, PDF,    国家自然科学基金支持
作者: 于 慧：山东济宁医学院临床医学院，山东 济宁；李格格, 付红伟, 冯雪芹, 张凡勇*：济宁医学院附属医院产科，山东 济宁
关键词: 系统性红斑狼疮；产后出血；治疗；Systemic Lupus Erythematosus； Postpartum Hemorrhage； Treat
摘要: 目的：探讨系统性红斑狼疮合并产后出血患者治疗方法。方法：回顾性分析1例系统性红斑狼疮合并产后出血患者的临床资料，并重点复习近5年来国内外相关文献。结果：结合病人临床表现、体格检查及辅助检查，行保守性手术治疗方法结局良好。结论：针对产后出血患者及时、恰当的采取保守性治疗方式，包括按摩子宫、使用各种类型宫缩抑制剂等，可降低子宫切除率及产后大出血等并发症，值得临床推广与借鉴。
Abstract: Objective: To explore the treatment of patients with systemic lupus erythematosus complicated with postpartum hemorrhage. Methods: The clinical data of a patient with systemic lupus erythe-matosus complicated with postpartum hemorrhage were retrospectively analyzed, and the related literatures at home and abroad in recent 5 years were reviewed. Results: Combined with the clinical manifestation, physical examination and auxiliary examination, the conservative surgical treatment had a good outcome. Conclusion: Timely and appropriate conservative treatment for postpartum hemorrhage patients, including massage of uterus and use of various types of uterine contraction inhibitors, can reduce the hysterectomy rate and postpartum hemorrhage and other complications, which is worthy of clinical promotion and reference.
文章引用：于慧, 李格格, 付红伟, 冯雪芹, 张凡勇. 系统性红斑狼疮合并产后出血病例分析1例[J]. 临床医学进展, 2023, 13(1): 40-44. https://doi.org/10.12677/ACM.2023.131007

参考文献

[1] Osaigbovoh, J.I., Olukemi, A.O., Inyang, F., et al. (2019) Obstetric Hemorrhage and Adverse Maternal Outcomes: Ex-perience of a Private Teaching Hospital in Southwestern Nigeria. African Journal of Health Sciences, 29, 105-118.
[2] 辛秀团. 成分输血救治产科大出血并弥散性血管内凝血先兆的临床效果研究[J]. 中国临床医生杂志, 2017, 45(11): 96-98.
[3] Widmer, M., Piaggio, G., Hofmeyr, G.J., et al. (2021) Maternal Characteristics and Causes Associ-ated with Refractory Postpartum Hemorrhage after Vaginal Birth: A Secondary Analysis of the WHO Champion Trial Data. Obstetric Anesthesia Digest, 41, 4-5. [Google Scholar] [CrossRef] 
[4] 王飞. 宫腔内放置球囊压迫治疗产后出血的效果观察[J]. 中国医药指南, 2019, 17(32): 56-58.
[5] Miller, S., Fathalla, M.M., Ojengbede, O.A., et al. (2010) Obstetric Hemorrhage and Shock Management: Using the Low Technology Non-Pneumatic Anti-Shock Garment in Nigerian and Egyptian Tertiary Care Facilities. BMC Pregnancy & Childbirth, 10, 64. [Google Scholar] [CrossRef] [PubMed]
[6] Committee on Practice Bulletins-Obstetrics (2017) Practice Bul-letin No. 183: Postpartum Hemorrhage. Obstetrics & Gynecology, 130, e168-e186. [Google Scholar] [CrossRef] 
[7] Linna, H.U. (2015) Analysis of Obstetric Hemorrhage Reason and Treatment of Shock. China Health Standard Management.
[8] Fitrisyah, A., Mafiana, R., Haloho, A.B., et al. (2021) Comparison of the Effectiveness of 5 IU Oxytocin Bolus and 20 IU Infusion on Uterine Contraction and He-modynamic Response in Caesarean Section. Biomedical Journal of Indonesia, 7, 311-324. [Google Scholar] [CrossRef] 
[9] Carlisa, B. (2018) Comparison of Carbetocin with Other Uterotonic Agents in Preventing Postpartum Hemorrhage. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 7, 5207-5213. [Google Scholar] [CrossRef] 
[10] 王立香. 卡前列素氨丁三醇和缩宫素治疗产后出血的效果及对出血量的影响[J]. 反射疗法与康复医学, 2022, 3(4): 36-39.
[11] Ling, Z., Yao, L., Cui, Z., et al. (2018) Effect of Carboprost Tromethamine in Prevention of Postpartum Hemorrhage in Cesarean Section. Pakistan Journal of Pharmaceutical Sciences, 31, 2257-2262.
[12] 施怡如, 林婧, 张丽君. 宫腔球囊、纱条填塞以及B-Lynch缝合在预防和治疗产后出血中的作用[J]. 第二军医大学学报, 2016, 37(4): 6.
[13] 沈丽萍. 宫腔球囊压迫止血治疗产后出血的临床观察[J]. 中国医药指南, 2022, 20(31): 89-91.
[14] Buyon, J.P., Mimi, Y., et al. (2017) Kidney Outcomes and Risk Factors for Nephritis (Flare/De Novo) in a Multiethnic Cohort of Pregnant Patients with Lupus. Clinical Journal of the American Society of Nephrology, 12, 940-946. [Google Scholar] [CrossRef] 
[15] 刘静, 洪永桃, 夏艳辉, 等. 系统性红斑狼疮伴血小板减少机制及治疗[J]. 中华风湿病学杂志, 2015, 19(8): 560-563.
[16] Matsunaga, S., Seki, H., Ono, Y., et al. (2012) A Retrospec-tive Analysis of Transfusion Management for Obstetric Hemorrhage in a Japanese Obstetric Center. ISRN Obstetrics & Gynecology, 2012, Article ID: 854064. [Google Scholar] [CrossRef] [PubMed]
[17] Sun, M.L., Wang, X.Y., Jiang, M., et al. (2016) A Clinical Analysis of Treatment with Recombinant Human Thrombopoietin Combined with Large Doses of Dexamethasone in Primary Im-mune Thrombocytopenia. Chinese Journal of Internal Medicine, 55, 202-205.
[18] 贺芳. 妊娠合并系统性红斑狼疮与不良妊娠结局[J]. 中国实用妇科与产科杂志, 2020, 36(5): 5.
[19] 潘梦璐. 系统性红斑狼疮及类风湿性关节炎患者外周血中羟氯喹及其代谢产物浓度的检测及临床意义[D]: [硕士学位论文]. 合肥: 安徽医科大学, 2021.
[20] 杨荣杰, 郭芸. 羟氯喹在系统性红斑狼疮治疗中的进展[J]. 皮肤病与性病, 2019, 41(5): 4.
[21] 田新平, 李梦涛, 曾小峰. 从我国系统性红斑狼疮的诊治现状寻找可能的解决方案——来自《中国系统性红斑狼疮发展报告2020》的启示[J]. 协和医学杂志, 2022, 13(2): 169-173.
[22] 李洁. 妊娠合并系统性红斑狼疮凝血功能相关研究[D]: [硕士学位论文]. 天津: 天津医科大学, 2018.
[23] 应振华, 张园, 王小冬. 《2020中国系统性红斑狼疮诊疗指南》解读[J]. 浙江医学, 2022, 44(1): 1-5.

为你推荐