应用欣母沛治疗产后出血的临床观察

目的观察欣母沛(氨丁卡前列素)用于治疗宫缩乏力所致的产后出血的疗效.方法对宫缩乏力所致的产后出血患者用常规方法治疗无效后,采用欣母沛宫体或宫颈注射,重复使用可间隔15分钟.结果 28例患者,26例有显著效果,有效率92.7%,无效2例,1例子宫破裂,另1例并发DIC.结论欣母沛治疗宫缩乏力性产后出血效果显著,但应明确诊断,早期使用.

A clinical study on controlling atonic postpartum hemrrhage with hemabate sterile solution

Objective To observe curative effect of intruterinely injected Hemabate sterile solution(15-methylprostaglandin F2a-tromethamine) for controlling atonic postpartum hemorrhage.The women who had postpartum hemorrhage caused by uterine atony were conducted.Methods An injection of Hemabate sterile solution intrautetinely or intracervically,aftet on response to conventional thearapies.The time interval between multiple doses is about 15 minutes.Results The hemorrhage was successfully controlled ymmediately after administration of Hemabate sterile solution in 26 of 28cases.The effective rate was 92.7%,two cases failed,of which one rupture of uterus and another one was comlicatedly disseminated intravascular coagulation(DIC).Conclusion Hemabate sterile solution appeared very effective for treatment of severe atonic postpartum hemorrhage and few side effects undet condition of determined diagnosis and early administration of the drug.