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1977年12月～1981年1月,我们收治11例破伤风病人。查其原因,怀疑与曾因慢性宫颈炎做电熨术有关(分别在7天和14天)。追查手术操作无误。经对外用药复方白芨散的药品检验,发现破伤风杆菌,明确是宫颈炎加电熨损伤处用白芨散所致。在积极抢救现患的同时,又对其他用此批药物治疗的84例病人进行了预防用药,终未发生严重后果。从此起事故除提及中药制剂(尤其是外用药)制作过程应加强无菌观念外,也提示临床对患者破损
From December 1977 to January 1981, we treated 11 patients with tetanus. Check its causes, suspected with chronic cervicitis had iron ironing surgery (respectively in 7 days and 14 days). Tracing operation is correct. The external drug compound Baizu San pharmaceutical testing and found that tetanus bacilli, cervicitis and iron injury is clearly caused by Baizu San. In the active rescue of the existing disease at the same time, another 84 patients treated with this batch of drugs were prophylactic medication, and finally no serious consequences. Since then, the accident should not only refer to the concept of aseptic preparation of traditional Chinese medicine preparations (especially for external use), but also suggest clinical damage to patients