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近年来,要求人流术者日愈增多。以往由于手术时不做麻醉,下腹疼痛不适甚至人流综合征时有发生。我们对停经12周以内要求人流的孕妇采用局麻药从宫旁3°、9°或4°、8°处的结缔组织内注入,药物迅速在阔韧带基底部猕散,阻断了骨盆神经丛的神经纤维传导。从而达到镇痛目的。麻醉前应详细询问有无心肺、肝肾疾患、过敏史,常规检查心肺、测血压。严密消毒,选好穿刺点后垂直进针,避免穿在宫颈或血管上。深度以0.5cm为宜。注射前先回抽,证明不在血管内方可缓慢注药。注射后五分钟内观察病人的一般情况及生命体征,无明显不适方可注射另一侧。五分钟后出现麻醉效果,宫颈管松驰,即可进行手术。一年多来,接受此方法的妇女已愈二百例,年龄不限,其中包括很多困难人流者,如疤痕子宫、哺乳期妊娠、大子宫、妊娠合并心脏病、癔病、畸形子宫、宫颈管狭窄扩宫困难等,无一例发生麻醉意外。手术时宫口易扩张,只要掌握操作要领及药物的浓度与剂量,大多数病人可
In recent years, there has been an ever-increasing demand for abortion. In the past due to surgery without anesthesia, abdominal pain and discomfort even from time to time syndrome. We apply local anesthetics to pregnant women who require abortions within 12 weeks of menopause to inject into the connective tissues at 3 °, 9 ° or 4 °, 8 ° next to the uterus. The drug quickly kicks off at the base of the broad ligament and blocks the pelvic plexus Nerve fiber conduction. So as to achieve the purpose of analgesia. Before anesthesia should be asked in detail whether the heart and lungs, liver and kidney disease, allergy history, routine examination of heart and lung, blood pressure. Tightly disinfected, select the puncture point after the vertical needle, to avoid wearing on the cervix or blood vessels. Depth of 0.5cm is appropriate. Pull back before injection, proving that it is not possible to inject medicine slowly inside the blood vessel. Observed within five minutes after injection of the patient’s general condition and vital signs, no obvious discomfort before injection on the other side. After five minutes of anesthesia, cervical canal relaxation, you can surgery. Over the past year, more than 200 women have been admitted to this method. They are open-minded and include many difficulties such as scar uterus, lactating pregnancy, large uterus, pregnancy complicated with heart disease, rickets, deformity uterus, cervical canal Narrow expansion of the palace difficulties, no case of anesthesia accidents. Ovarian surgery easy to expand, as long as the operation essentials and drug concentration and dosage, most patients may