Management of Hemorrhage During Gynecologic Surgery

被引:6
作者
Yu, Steve P. [1 ]
Cohen, Joshua G. [2 ]
Parker, William H. [1 ]
机构
[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Obstet & Gynecol, Div Minimally Invas Surg,Sch Med, Los Angeles, CA 90095 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, Dept Obstet & Gynecol, Div Gynecol Oncol,Sch Med, Los Angeles, CA 90095 USA
关键词
gynecologic hemorrhage; gynecologic surgery; surgical hemorrhage; management gynecologic hemorrhage; management surgical hemorrhage; postoperative hemorrhage; TOPICAL HEMOSTATIC AGENTS; MASSIVE BLOOD-LOSS; POSTPARTUM HEMORRHAGE; BALLOON OCCLUSION; HERBAL MEDICINES; TRANSFUSION; WOMEN; IRON; FLUOROSCOPY; DEFICIENCY;
D O I
10.1097/GRF.0000000000000147
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Surgical blood loss of >1000 mL or blood loss that requires a blood transfusion usually defines intraoperative hemorrhage. Intraoperative hemorrhage has been reported in 1% to 2% of hysterectomy studies. Cardiovascular instability with significant hypotension often results from a loss of 30% to 40% of the patient's blood volume and >40% blood loss is life threatening. Preparation, planning, and practicing for a massive hemorrhage is essential for all surgeons and gynecologic operating room teams. Emergency steps should be written and posted in the operating room and rehearsed quarterly.
引用
收藏
页码:718 / 731
页数:14
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