论文部分内容阅读
剖宫产手术当胎儿及胎盘娩出以后,有时因为子宫收缩不好,而出血不止。本文用浸透乙醚的纱布包裹子宫,促使子宫迅速收缩而止血。现介绍如下。例1.患者29岁,住院号12887。孕足月初产妇,因第二产程延长,行子宫下段剖宫产术,胎儿及胎盘娩出后,子宫不收缩,如一橡皮袋,2～3分钟内出血约600～800ml。由宫体及静脉注射催产素达100U,用宫体按摩,热盐水热敷等无救,出血不止。便用浸透乙醚的纱布包裹子宫体,约1～2分钟后,子宫很快收缩,由橡皮袋状变成坚硬的球形。出血立即停止。关闭腹腔前,子宫一直收缩很好。术后阴道出血不多,恶露正常,七天后拆线,痊愈出院。例2.患者23岁,住院号11737,妊娠43周初产妇,因骨盆狭窄于1987年6月18日住院行子宫下段剖宫产术。当胎儿及胎盘娩出后,子宫收缩差,呈橡皮袋样,短时间内出血达600ml,宫体及静脉注射催产素共60U,用宫体按摩热敷等,收缩时好时坏,仍有
Cesarean surgery when the fetus and placenta after delivery, and sometimes because of poor uterine contraction, bleeding more than. This article soaked with ether gauze wrapped uterus, prompting the rapid contraction of the uterus to stop bleeding. Now introduced as follows. Example 1. Patient 29 years old, hospital number 12887. Pregnant term full-term mothers, due to the extension of the second stage of labor, line uterine cesarean section, fetal and placental delivery, the uterus does not shrink, such as a rubber bag, 2 to 3 minutes bleeding about 600 ~ 800ml. By the uterine and intravenous injection of oxytocin up to 100U, with Palace massage, hot salt water heat and no other rescue, bleeding more than. Will be saturated with ether gauze wrap the uterus, about 1 to 2 minutes later, the uterus quickly shrink from a rubber bag into a hard ball. Bleeding stopped immediately. Close the abdominal cavity, the uterus has been contracting well. Vaginal bleeding after surgery, lochia normal, stitches seven days later, discharged. Example 2: Patient 23 years old, hospital number 11737, first trimester 43 weeks gestation, cesarean section hospitalized for lower uterine segment due to pelvic stenosis on June 18, 1987. When the fetus and placenta after delivery, poor uterine contractions, was rubber-like bag, bleeding within a short time up to 600ml, Palace and intravenous oxytocin 60U, with Palace massage hot compress, contraction, good and bad, there are still