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本文报道用普鲁卡因加阿托品封闭治疗分娩过程中宫颈水肿70例,并探讨其临床意义如下。材科本文对1985年1月至6月及1987年月6至10月分娩的产妇产程中有宫颈水肿进行封闭治疗的病例进行回顾性分析。适应证为:凡产道无其它异常,具备阴道分娩条件的产妇,在产程中发现宫颈扩张缓慢,有宫颈水肿、充血变厚且无普鲁卡因过敏史者均可应用。方法患者取膀胱截石位,常规消毒外阴,用窥阴器轻轻暴露水肿之宫颈,用碘酒、酒精消毒局部,戴无菌手套,用10ml 注射器抽取1%普鲁卡因10ml 加阿托品0.5mg(或654—Ⅱ10mg),用7号长针头直接在水肿明显部位点状注射。要求注射在环状肌层,注射速度缓慢便于药液渗透吸收。结果本文分析70例病人,56例经阴道分娩,14例剖宫产。56例阴道分娩中活跃期(以宫口开大3cm 计)注药前、后宫颈扩张1cm 所需时间见表1、表2。
This article reports the use of procaine plus atropine block treatment of cervical edema during delivery in 70 cases, and to explore its clinical significance is as follows. Materials This article retrospectively analyzed the cases of closed treatment of cervical edema in the delivery of labor between January 1985 and June 1987 and from June to October 1987. Indications for: where no other anomalies of the birth canal, with vaginal delivery conditions of the mother, found in the labor process is slow cervical expansion, cervical edema, congestion and thickening without procaine allergy history can be applied. Methods Patients with lithotomy position bladder, routine disinfection of the vulva, vaginal edema gently exposed with edema of the cervix, with iodine, alcohol disinfection of the local, wearing sterile gloves, with a 10ml syringe 1% procaine 10ml plus atropine 0.5 mg (or 654-II10mg), with a long needle on the 7th point in the edema marked spot injection. Requires injection in the ring muscle, injection speed is slow to facilitate liquid absorption. Results This analysis of 70 patients, 56 cases of vaginal delivery, cesarean section in 14 cases. 56 cases of vaginal delivery in the active period (to open the cervix 3cm meter) before and after injection of cervical expansion 1cm time required in Table 1, Table 2.