CN106491173A - A kind of method that application Bakri uterus filling foley's tube joint vagina fills out yarn - Google Patents
A kind of method that application Bakri uterus filling foley's tube joint vagina fills out yarn Download PDFInfo
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- CN106491173A CN106491173A CN201610945446.0A CN201610945446A CN106491173A CN 106491173 A CN106491173 A CN 106491173A CN 201610945446 A CN201610945446 A CN 201610945446A CN 106491173 A CN106491173 A CN 106491173A
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- uterus
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- foley
- sliver
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/10—Balloon catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B2017/12004—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B2017/4216—Operations on uterus, e.g. endometrium
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/14—Female reproductive, genital organs
- A61M2210/1475—Vagina
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- Heart & Thoracic Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Pregnancy & Childbirth (AREA)
- Gynecology & Obstetrics (AREA)
- Hematology (AREA)
- Anesthesiology (AREA)
- Biophysics (AREA)
- Child & Adolescent Psychology (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of application Bakri uterus filling foley's tube combines the method that vagina fills out yarn, the present invention is comprised the following steps, S1：Choose sliver sterilization standby；S2：Cesarean esction routine operation；S3：The sacculus end that foley's tube is clogged in Bakri uterus is put into uterine cavity, the other end sends into intravaginal；S4：Gauze is filled in uterine cavity by proficiency succedent houses body, another hand, from the beginning of the bottom of uterus, is clogged sliver, is sutured uterine incision；S5：Physiological saline Filled Balloon, ultrasound confirm balloon position.The present invention is a kind of method of easy to operate, quick, effective, safe control postpartum haemorrhage, both effectively prevented uterus sacculus from slipping, play a part of again to oppress lower uterine segment, also strengthen the effect that Bakri uterus filling foley's tube clogs uterine cavity hemostasis by compression, generation in control cesarean section with post-operative hemorrhage volume, effectively reduce incidence of postpartum, reduce maternal mortality rate, ensure the safety of regarding labor.
Description
Technical field
A kind of the present invention relates to medicine technology field, more particularly to application Bakri uterus filling foley's tube joint vagina
The method for filling out yarn.
Background technology
Maternal mortality rate is to weigh one of countries and regions social economy, an important indicator for cultural development, and
The important indicator of reflection Material and infant safe, is effectively reduced maternal mortality rate, is the vital task of current mother and child care.Postpartum goes out
Blood, occupies China's maternal death reason the first.Postpartum haemorrhage refers to that blood loss is more than 500ml, Cesarean esction in 24 hours after delivery of baby
When more than 1000ml, be intrapartum severe complication.Therefore, effectively prevention and control postpartum haemorrhage seem special
Important.There is postpartum haemorrhage rate significantly raised, control Bleeding during caesarean birth is during vaginal delivery is compared in cesarean section
The most important thing.
Past, pregnant and lying-in women adopt Via vagina intrauterine packing gauze in the art of childbirth and the postoperative phenomenon for bleeding occur more
Hemostasis, but its operation skill requirement is higher, and the operating time is longer, does not often reach the emergent purpose of rapid hemostasis, and severe patient will
Carry out uterectomy to save puerpera's life.Bakri uterus filling foley's tube filling art and traditional vaginal uterine cavity filling art
Compare, with simple to operate, and the advantage that can stop blooding rapidly, may replace vaginal uterine cavity filling technology.But clinic is in application Bakri
During uterus filling foley's tube filling uterine cavity hemostasis by compression, in place of finding some shortcomings：Work as uterine contractions fatigue, lower uterine segment flesh
When dried meat floss relaxes, uterus sacculus is easily slipped to vagina or slips out, and causes Compressive Hemostasis bad；When uterus significantly increases,
When the capacity of Bakri uterus filling foley's tube reaches maximum dose (500ml), the effect for oppressing uterus (including lower uterine segment) is poor
Or it is invalid.
Content of the invention
The invention aims to shortcoming present in prior art is solved, and a kind of application Bakri uterus for proposing
The method that filling foley's tube joint vagina fills out yarn.
A kind of method that application Bakri uterus filling foley's tube joint vagina fills out yarn, comprises the following steps：
S1：Wide 6～8cm is chosen, long 1.5～2m, thick 4～6 layers of sliver sterilization are standby；
S2：Cesarean esction routine operation；
S3：After the completion of Cesarean esction routine operation, the sacculus end that foley's tube is clogged in Bakri uterus is put into uterine cavity, patient
Fixed sacculus, while the other end is sent into intravaginal through cervix using sponge holding forceps, under platform, special messenger is responsible for lower pull catheter；
S4：Patient holds uterus bottom succedent houses body on the other hand, and another hand clamps one end of sliver, gauze is passed through with sponge holding forceps
Uterine incision is packed to uterine cavity, from the beginning of the bottom of uterus, clogs sliver, between sliver and sliver, does not stay between sliver and palace wall
Gap, compresses and fills out jail, and after clogging to the upper limb of incision of lower uterine segment, sliver needed for reserving, by the other end of sliver from cervix
Mouth sends into intravaginal, then clogs successively to incision of lower uterine segment lower edge, sutures uterine incision；
S5：With SPSS Automatic water-filling end Filled Balloon after suture uterine incision, SPSS amount 250 is filled
～500mL, ultrasound reaffirm balloon position.
Preferably, the sliver is not degreasing cotton gauze bar.
Preferably, the sponge holding forceps is anodontia sponge holding forceps.
Preferably, the external drainage bottle of the conduit, real-time monitoring amount of bleeding.
Preferably, the filling mode is to fold filling back and forth in " Z " font.
Preferably, the depth for sending into vagina is 2～3cm.
Preferably, the SPSS amount is 250～300mL.
The inventive method is a kind of conservative operation dealing side of easy to operate, quick, effective, safe control postpartum haemorrhage
Method, Bakri uterus filling foley's tube are used with sliver filling technical tie-up, both can effectively have been prevented uterus sacculus from slipping and played
Fixation, may also function as the effect for oppressing lower uterine segment, strengthen Bakri uterus filling foley's tube filling uterine cavity hemostasis by compression
Effect, in Collaborative Control cesarean section and post-operative hemorrhage volume generation, effectively reduce incidence of postpartum, reduce pregnant and lying-in women
The death rate, ensures the safety of regarding labor.
Specific embodiment
The present invention is further explained with reference to specific embodiment.
Embodiment one
The method that a kind of application Bakri uterus filling foley's tube joint vagina proposed by the present invention fills out yarn, including following
Step：
S1：Width 7cm, long 2m is chosen, thick 5 layers of sliver sterilization is standby；
S2：Cesarean esction routine operation；
S3：After the completion of Cesarean esction routine operation, the sacculus end that foley's tube is clogged in Bakri uterus is put into uterine cavity, patient
Fixed sacculus, while the other end is sent into intravaginal through cervix using sponge holding forceps, under platform, special messenger is responsible for lower pull catheter；
S4：Patient holds uterus bottom succedent houses body on the other hand, and another hand clamps one end of sliver, gauze is passed through with sponge holding forceps
Uterine incision is packed to uterine cavity, from the beginning of the bottom of uterus, folds filling sliver, between sliver and sliver, yarn back and forth in " Z " font
Gap not being stayed between bar and palace wall, being compressed and is filled out jail, after clogging to the upper limb of incision of lower uterine segment, sliver needed for reserving, by sliver
The other end send into intravaginal 3cm from cervical orifice, then clog successively to incision of lower uterine segment lower edge, suture uterine incision；
S5：With SPSS Automatic water-filling end Filled Balloon after suture uterine incision, SPSS amount is filled
300mL, ultrasound reaffirm balloon position.
Embodiment two
The method that a kind of application Bakri uterus filling foley's tube joint vagina proposed by the present invention fills out yarn, including following
Step：
S1：Width 6cm, long 1.5m is chosen, thick 4 layers of sliver sterilization is standby；
S2：Cesarean esction routine operation；
S3：After the completion of Cesarean esction routine operation, the sacculus end that foley's tube is clogged in Bakri uterus is put into uterine cavity, patient
Fixed sacculus, while the other end is sent into intravaginal through cervix using anodontia sponge holding forceps, under platform, special messenger is responsible for lower pull catheter；
S4：Patient holds uterus bottom succedent houses body on the other hand, and another hand clamps one end of sliver with anodontia sponge holding forceps, by yarn
Cloth is packed to uterine cavity through uterine incision, from the beginning of the bottom of uterus, folds filling sliver in " Z " font back and forth, sliver and sliver it
Between, gap is not stayed between sliver and palace wall, is compressed and is filled out jail, after clogging to the upper limb of incision of lower uterine segment, sliver needed for reserving will
The other end of sliver sends into intravaginal 2.5cm from cervical orifice, then clogs successively to incision of lower uterine segment lower edge, sutures uterus
Otch；
S5：With SPSS Automatic water-filling end Filled Balloon after suture uterine incision, SPSS amount is filled
250mL, ultrasound reaffirm balloon position.
Embodiment three
The method that a kind of application Bakri uterus filling foley's tube joint vagina proposed by the present invention fills out yarn, including following
Step：
S1：Width 6cm, long 2m is chosen, thick 6 layers of sliver sterilization is standby；
S2：Cesarean esction routine operation；
S3：After the completion of Cesarean esction routine operation, the sacculus end that foley's tube is clogged in Bakri uterus is put into uterine cavity, patient
Fixed sacculus, while the other end is sent into intravaginal through cervix using anodontia sponge holding forceps, under platform, special messenger is responsible for lower pull catheter；
S4：Patient holds uterus bottom succedent houses body on the other hand, and another hand clamps one end of sliver with anodontia sponge holding forceps, by yarn
Cloth is packed to uterine cavity through uterine incision, from the beginning of the bottom of uterus, folds filling sliver in " Z " font back and forth, sliver and sliver it
Between, gap is not stayed between sliver and palace wall, is compressed and is filled out jail, after clogging to the upper limb of incision of lower uterine segment, sliver needed for reserving will
The other end of sliver sends into intravaginal 2cm from cervical orifice, then clogs successively to incision of lower uterine segment lower edge, and suture uterus is cut
Mouthful；
S5：With SPSS Automatic water-filling end Filled Balloon after suture uterine incision, SPSS amount is filled
400mL, ultrasound reaffirm balloon position.
In the present invention, the mechanism of action of sliver filling is by the mechanical pressure to bleeding face blood sinus, stimulates uterus acceptor
Receptor, excites uterine contractile by cerebral cortex；Sliver reaches the mesh that bleeding suspends or slows down by oppressing separation of placenta face
, be conducive to platelet activation and clotting factor release, form thrombus, play the effect of hemostasis.
In the present invention, the know-why of Bakri uterus filling foley's tube is that intraluminal pressure exceedes uterus after sacculus fluid injection
Vascular pressure, forces the uterine vascular for being close to sacculus to tighten closure hemostasis, as there is water pocket plasticity, water pocket can change its shape
Shape is stopped blooding with fully clogging uterine cavity compressing separation of placenta face.The elasticity of water pocket can also make the normal contraction in uterus unaffected,
Avoid because leaving the various complication that space or gauze filling tension cause.
The inventive method is a kind of conservative operation dealing side of easy to operate, quick, effective, safe control postpartum haemorrhage
Method, Bakri uterus filling foley's tube are used with sliver filling technical tie-up, both can effectively have been prevented uterus sacculus from slipping and played
Fixation, may also function as the effect for oppressing lower uterine segment, strengthen Bakri uterus filling foley's tube filling uterine cavity hemostasis by compression
Effect, in Collaborative Control cesarean section and post-operative hemorrhage volume generation, effectively reduce incidence of postpartum, reduce pregnant and lying-in women
The death rate, ensures the safety of regarding labor.
The above, the only present invention preferably specific embodiment, but protection scope of the present invention is not limited thereto,
Any those familiar with the art the invention discloses technical scope in, technology according to the present invention scheme and its
Inventive concept equivalent or change in addition, should all be included within the scope of the present invention.
Claims (7)
1. a kind of method that application Bakri uterus filling foley's tube joint vagina fills out yarn, it is characterised in that including following step
Suddenly：
S1：Wide 6～8cm is chosen, long 1.5～2m, thick 4～6 layers of sliver sterilization are standby；
S2：Cesarean esction routine operation；
S3：After the completion of Cesarean esction routine operation, the sacculus end that foley's tube is clogged in Bakri uterus is put into uterine cavity, patient fixes
Sacculus, while the other end is sent into intravaginal through cervix using sponge holding forceps, under platform, special messenger is responsible for lower pull catheter；
S4：Patient holds uterus bottom succedent houses body on the other hand, and another hand clamps one end of sliver with sponge holding forceps, by gauze through uterus
Otch is packed to uterine cavity, from the beginning of the bottom of uterus, clogs sliver, between sliver and sliver, does not stay gap between sliver and palace wall,
Compression fills out jail, and after clogging to the upper limb of incision of lower uterine segment, the other end of sliver is sent into by sliver needed for reserving from cervical orifice
Intravaginal, then clogs successively to incision of lower uterine segment lower edge, sutures uterine incision；
S5：With SPSS Automatic water-filling end Filled Balloon after suture uterine incision, fill SPSS amount 250～
500mL, ultrasound reaffirm balloon position.
2. the method that a kind of application Bakri uterus filling foley's tube joint vagina according to claim 1 fills out yarn, which is special
Levy and be, the sliver is not degreasing cotton gauze bar.
3. the method that a kind of application Bakri uterus filling foley's tube joint vagina according to claim 1 fills out yarn, which is special
Levy and be, the sponge holding forceps is anodontia sponge holding forceps.
4. the method that a kind of application Bakri uterus filling foley's tube joint vagina according to claim 1 fills out yarn, which is special
Levy and be, the external drainage bottle of the conduit, real-time monitoring amount of bleeding.
5. the method that a kind of application Bakri uterus filling foley's tube joint vagina according to claim 1 fills out yarn, which is special
Levying and being, the filling mode is filling to be folded back and forth in " Z " font.
6. the method that a kind of application Bakri uterus filling foley's tube joint vagina according to claim 1 fills out yarn, which is special
Levy and be, the depth for sending into vagina is 2～3cm.
7. the method that a kind of application Bakri uterus filling foley's tube joint vagina according to claim 1 fills out yarn, which is special
Levy and be, the SPSS amount is 250～300mL.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610945446.0A CN106491173A (en) | 2016-11-02 | 2016-11-02 | A kind of method that application Bakri uterus filling foley's tube joint vagina fills out yarn |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610945446.0A CN106491173A (en) | 2016-11-02 | 2016-11-02 | A kind of method that application Bakri uterus filling foley's tube joint vagina fills out yarn |
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| CN106491173A true CN106491173A (en) | 2017-03-15 |
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| CN201610945446.0A Pending CN106491173A (en) | 2016-11-02 | 2016-11-02 | A kind of method that application Bakri uterus filling foley's tube joint vagina fills out yarn |
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN203776993U (en) * | 2013-12-25 | 2014-08-20 | 上海长征医院 | Three-bladed balloon catheter for uterine cavity expansion |
| CN204318828U (en) * | 2014-11-28 | 2015-05-13 | 湖州市妇幼保健院 | A kind of for Celiotomy Wean compression hemostasis water sag |
| US20150202411A1 (en) * | 2014-01-21 | 2015-07-23 | Cook Medical Technologies Llc | Adjustable Vaginal Anchor for Uterine Tamponade Device and Methods of Using The Same |
| CN105662518A (en) * | 2016-03-09 | 2016-06-15 | 中国人民解放军第三军医大学第一附属医院 | Intelligent uterus hemostasis air bag |
-
2016
- 2016-11-02 CN CN201610945446.0A patent/CN106491173A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN203776993U (en) * | 2013-12-25 | 2014-08-20 | 上海长征医院 | Three-bladed balloon catheter for uterine cavity expansion |
| US20150202411A1 (en) * | 2014-01-21 | 2015-07-23 | Cook Medical Technologies Llc | Adjustable Vaginal Anchor for Uterine Tamponade Device and Methods of Using The Same |
| CN204318828U (en) * | 2014-11-28 | 2015-05-13 | 湖州市妇幼保健院 | A kind of for Celiotomy Wean compression hemostasis water sag |
| CN105662518A (en) * | 2016-03-09 | 2016-06-15 | 中国人民解放军第三军医大学第一附属医院 | Intelligent uterus hemostasis air bag |
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Application publication date: 20170315 |
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