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我们在1990年1月和3月曾遇2例双胎合并产时子痫剖宫产时,因宫缩乏力而大出血。使用宫缩剂无效情况下,我们使用浸透乙醚纱布包裹宫体而迅速止血,现介绍如下。例1,患者杨某,23岁.初孕,因停经40W~(-3),头痛,头晕及视物不清一天入院,途中抽搐一次。查体:神志不清,血压22/18kPa,腹高度膨隆,双胎,胎心148次/分和162次/分,宫缩规律.给镇静、解痉,降压,利尿,扩容等治疗。患者仍抽搐频繁,血压达26/20kPa。立即在硬膜外麻醉下行子宫下段剖宫产术,当胎儿分娩出后,宫体及静注催产素共40u,胎盘娩出后,大量
In January 1990 and in March 1990, we had met two cases of twin pregnancy combined with epilepsy cesarean section, due to uterine inertia and bleeding. Uterotonic use of ineffective circumstances, we use saturated ether gauze wrap the body and quickly stop bleeding, are described below. Example 1, Yang patients, aged 23. First trimester, due to menopause 40W ~ (-3), headache, dizziness and blurred vision admitted one day, the way convulsions once. Physical examination: unconsciousness, blood pressure 22 / 18kPa, abdominal distension, twins, fetal heart rate 148 beats / min and 162 beats / min, contractions. Patients still twitching frequently, blood pressure up to 26 / 20kPa. Immediately under epidural anesthesia underwent uterine cesarean section, when the fetus after delivery, uterine and intravenous oxytocin total 40u, the placenta after delivery, a large number