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妊娠11～14周患者要求终止妊娠,采用大钳刮术,出血多,子宫穿孔及感染机会较多,我院选用雷夫奴尔100mg,用生理盐水稀释至60ml 羊膜腔外注射引产30例,效果满意.方法术前阴道用P、P 水冲洗3次,常规消毒外阴、阴道、宫颈,术者将14号导尿管沿宫腔壁缓慢送入,若有出血取出,沿另一侧宫壁送入,由导尿管推入稀释雷夫奴尔60ml,然后用纱布包裹导尿管末端送入阴道,24h 后取出导尿管与纱布块,等待胎体排出.最短时间10h45min,最长时间58h15min,平均34h30min。无产后出血及感染.胎盘不全者立即清宫,术后用灭滴灵3d,流产24h 后常规清宫一次。患传染性肝炎,急性阴道炎,外阴炎,死胎,葡萄胎禁忌.
11 to 14 weeks of gestation patients require termination of pregnancy, the use of pliers curettage, bleeding, uterine perforation and more opportunities for infection, the hospital selected Levuir 100mg, diluted with saline to 60ml amniotic fluid injection induced abortion in 30 cases, With satisfactory results.Methods Preoperative vaginal use of P, P water rinse 3 times routine disinfection of the vulva, vagina, cervix, the surgeon will be on the 14th catheter slowly into the uterine wall, if bleeding out, along the other side of the palace The wall into the catheter pushed into the thin Reef Nuer 60ml, and then wrapped with gauze into the vagina at the end of the catheter, remove the catheter and gauze after 24h, waiting for the carcass discharge. The shortest time 10h45min, the longest Time 58h15min, an average of 34h30min. No postpartum hemorrhage and infection.Acute placental insufficiency immediately after surgery with metronidazole 3d, abortion 24 h after the routine Qing Palace. Suffering from infectious hepatitis, acute vaginitis, vulvitis, stillbirth, mole taboo.