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腹膜外剖腹产作为减少产褥宫内膜炎、严重的肠梗阻和腹膜炎而再次被提出。此项技术最初由Latzko,Waters和Norton报导,并在抗菌素应用前广泛应用于某些医疗中心。增加使用腹膜外剖腹产的技术,可减少术后发热率,适用于有感染而须行剖腹产的高危孕妇。另一方面,作者的经验指出,术中、术后预防性应用抗菌素,对于减少剖腹产术后罹病率同样有效。一、材料和方法复习了California大学Davis医疗中心自1976年1月1日至1977年12月31日的全部初次剖腹产病例,这段时期的初次剖腹产率为7.4%。对186个病例的产程和/或破膜、并发症、术中发现的异常及剖腹产指征诸方面进行了分析。Ledger和Kriewall提议,累
Extraperitoneal caesarean section is again presented as a reduction of puerperal endometritis, severe ileus and peritonitis. This technology was originally reported by Latzko, Waters, and Norton and is widely used in certain medical centers prior to antibiotic applications. Increase the use of extraperitoneal caesarean section technology, can reduce the rate of postoperative fever for pregnant women with high risk of infection due to caesarean section. On the other hand, the authors’ experience indicates that intraoperative and postoperative prophylactic antibiotics are equally effective in reducing morbidity after caesarean section. I. MATERIALS AND METHODS All first-time caesarean sections were reviewed at Davis Medical Center, University of California, from January 1, 1976 to December 31, 1977, with an initial caesarean section rate of 7.4% during this period. In 186 cases of labor and / or rupture, complications, intraoperative findings of abnormalities and cesarean section indications were analyzed. Ledger and Kriewall’s proposal, tired