摘要
目的探讨米索前列醇加钙剂治疗产后出血疗效。方法选自在该院分娩孕妇2652例,其中产后出血106例。在胎儿娩出后,常规静脉推注催产素20U加强宫缩,在用药欠佳情况下,可口服米索前列醇400μg,同时静脉滴注10%GS100ml+10%葡萄糖酸钙10ml,术后或产后常规肛门塞米索前列醇200μg加强宫缩治疗。结果产妇宫缩乏力大出血得以制止,子宫收缩好,流血减少。结论宫缩乏力大出血使用钙剂(静脉滴注),口服米索前列醇,配合宫缩剂应用,起到加强子宫肌收缩的作用,而且能增加子宫收缩频率,是一种操作简便、经济、止血好、性能安全、有临床使用价值的方法。
Objective To study the curative effect of a combined treatment of postpartum haemorrhage with misoprostol and calcium agent. Methods Cases were selected from July 2000 to April 2004.106 of 2652 parturitions had postpartum haemorrhage.After the birth of the fetus, intravenous injection of 20U of hasten parturition element to enhance the womb systole was a common practice. However, if the treatment was not satisfy, oral administration of misoprostol 400 μg together with the intravenous drips of 10%GS 100ml+10%glucose acid calcium 10ml. After operation or postpartum, 200μg misoprostol was squeezed into anus to strengthen womb systole. Result The treatment could stop the postpartum haemorrhage and enhance womb systole. Conculsions Oral administration of misoprostol and intravenous drip of calcium agent could stop postpartum haemorrhage and strengthen and increase womb systole freguency. It is a simple, safe, convenient, economical, treatment to postpartum haemorrhage.
出处
《热带医学杂志》
CAS
2004年第5期590-591,589,共3页
Journal of Tropical Medicine
关键词
产后出血
钙剂
米索前列醇
治疗
postpartum haemorrhage
calcium agent
misoprostol
treatment
