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本文报告3例芫花乙醇液中期引产死亡尸检病理结果,并对死亡原因进行了分析。证实芫花乙醇浸剂可直接引起子宫肌、蜕膜、胎盘组织坏死、出血,伴有无菌性炎症,而且大量凝血活素及坏死物质进入血循环启动外源性凝血系统而导致 DIC。强调指出,子宫体炎或内膜结核;恶性葡萄胎或绒毛膜上皮癌治愈后;多胎妊娠或近期哺乳者均列为芫花引产禁忌症。在操作时应注意防止药液带入子宫肌层。
This article reports 3 cases of Daphne genkwa ethanol mid-term induction of death induced by autopsy pathology, and the cause of death were analyzed. Confirmed that Daphne genkwa ethanol infusion can directly cause uterine muscle, decidua, placental tissue necrosis, bleeding, accompanied by aseptic inflammation, and a large number of coagulation activin and necrotic substances into the blood circulation to start the extrinsic coagulation system and lead to DIC. Emphasize that uterine inflammation or endometrial tuberculosis; malignant mole or choriocarcinoma after the cure; multiple births or recent breastfeeding were classified as contraindications to Daphne geua. In the operation should be taken to prevent the liquid into the myometrium.