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我院于1994年9月行中期妊娠引产42例,其中因胎盘部分粘连,子宫收缩乏力性出血约2000～3000ml,占4.8％。报道如下: 例1,方×,34岁,G_4P_1A_3,孕22周行羊膜穿刺注入利凡诺尔100mg,注药后43小时分娩一死婴,第三产程10分钟胎盘娩出,检查胎盘小叶有1/6缺损,胎盘娩出而出现子宫收缩乏力性出血1000ml,触子宫软,轮廓不清,即按摩子宫,注入催产素30单位,麦角新碱0.4mg,输血800ml,宫缩渐好转,阴道流血减少,血压由8/6升至11/8kPa。继续治疗5天后B
In our hospital in September 1994, 42 cases of mid-term pregnancy induced abortion, which due to partial adhesion of the placenta, uterine atony bleeding about 2000 ~ 3000ml, accounting for 4.8%. Reported as follows: Example 1, × ×, 34-year-old, G_4P_1A_3, 22 weeks of pregnancy amniocentesis infusion rivanol 100mg, 43 hours after injection of a dead baby, the third stage of labor 10 minutes placental delivery, check the placental lobes 1/6 Defect, the placenta was delivered and uterine atony of bleeding 1000ml, touch the uterus soft, the outline is not clear, that is, massage the uterus, injection of oxytocin 30 units, ergot alkali 0.4mg, 800ml blood transfusion, contractions gradually improved vaginal bleeding reduced blood pressure From 8/6 to 11 / 8kPa. After 5 days of continued treatment B