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目的:观察卡前列素氨丁三醇治疗宫缩乏力性产后出血的疗效及副作用。方法:选择产后出血患者50例,在持续静滴缩宫素、米索前列醇塞肛疗效不佳的基础上宫颈注射(顺产)或宫体注射(剖宫产)卡前列素氨丁三醇,观察阴道出血减少情况及药物副作用。结果:50例患者中42例效果显著(84.%),7例有效(14%),1例无效(2%)。恶心、呕吐、腹泻8例(16%),头痛、潮热2例(4%)。结论:卡前列素氨丁三醇治疗宫缩乏力性产后出血效果显著,方法简便,可有效防止宫缩乏力性产后出血的进一步加重。
Objective: To observe the curative effect and side effects of carboprost trometamol in the treatment of uterine inertia postpartum hemorrhage. Methods: Fifty patients with postpartum hemorrhage were selected. After continuous infusion of oxytocin and misoprostol, the effects of cervical injection (cesarean delivery) or intrauterine injection (cesarean) , Observe the reduction of vaginal bleeding and drug side effects. Results: Of the 50 patients, 42 achieved significant results (84%), 7 were effective (14%) and 1 was ineffective (2%). Nausea, vomiting, diarrhea in 8 cases (16%), headache, hot flashes in 2 cases (4%). CONCLUSION: The effect of cardiotlib trometamol on uterine atony after hemorrhage is remarkable, and the method is simple and convenient, which can prevent further increase of uterine inert postpartum hemorrhage.