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目的探讨米索前列醇治疗产后出血的临床疗效。方法在胎儿娩出后采用肌注、静点催产素30u,麦角0.4mg,按摩子宫等方法仍未见明显好转,且阴道流血超过500ml的情况下,口服米索前列醇片400mg,同时阴道内后穹窿放置米索前列醇200mg。3min之内立即止血。当胎儿娩出后,待羊水流尽后产即在产妇臀下放接血器到产后2h,测量失血量,并记录口服米索前后的血压、脉搏及用药出现的副作用。结果经临床观察使用米索前列醇止血效果好,服药前后的血压、脉搏差异无显著性(P<0.01)。结论米索前列醇治疗产后出血(弛缓性子宫出血)具有简便、安全、高效的作用。
Objective To investigate the clinical efficacy of misoprostol in treating postpartum hemorrhage. Methods After the fetus was delivered by intramuscular injection, intravenous oxytocin 30u, ergot 0.4mg, massage the uterus and other methods have not been significantly improved, and vaginal bleeding more than 500ml cases, oral misoprostol tablets 400mg, while the vaginal Fornix placed misoprostol 200mg. Stop bleeding immediately within 3min. When the fetus was delivered, to be amniotic fluid flow after the abortion that the fetus hip bleeding device to postpartum 2h, blood loss was measured and recorded before and after oral misoprostol, blood pressure and medication side effects. Results Clinical observation of misoprostol with good hemostasis, blood pressure and pulse before and after taking no significant difference (P <0.01). Conclusion Misoprostol treatment of postpartum hemorrhage (flaccid uterine bleeding) with a simple, safe and efficient role.