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卡孕栓（ＰＧ＿０５）在高危流产中的应用晋中地区第一人民医院（０３０６００）赵俊萍忻州地区医院张桂芳１９９１年１０月～１９９２年９月采用卡孕栓对９例高危早、中孕期患者引产，取得满意效果，现报告如下：临床资料一、一般资料：９例年龄２４～３６岁；孕次１～４次；产次０～３次；孕周０～２６周。病种：例１是剖腹产感染、子宫高位固定，宫颈不易暴露；例２为多发性子宫肌瘤、子宫肌瘤向颈管内突出；例３破水；例４胚胎停育；例５双角子宫；例６前壁胎盘，两次雷穿失败；例７羊水过少；例８双阴道、双宫颈、双子宫，剖腹产术后５个月，宫颈不易暴露；例９妊高征、胎死宫内。二、用药情况：９例均于用药前肌注丙酸睾丸酮３天，每日１００ｍｇ，第４天开始阴道后穹窿放ＰＧ０５栓剂。上药方法：外阴、阴道消毒，戴手套取药ｌ粒（每粒１ｍｇ）送入阴道后穹窿，每２～３小时上药一次，上药后病人卧床１小时，同时口服笨乙哌啶１～２片，预防消化道副反应。用ＰＧ０５栓剂总量２～４ｍｇ。三、效果判定：①引产成功：胎儿胎盘完全排出或胎儿排出；②引产有效：阴道软化，宫口扩张至可允许手术操作终止妊娠；③引产失败：放药后２４小时未流产、宫口未开或停药后宫缩消失、宫口未开。结果９例中８
Card pregnant suppository (PG_05) in the application of high risk abortion Jinzhong District People’s Hospital (030600) Zhao Junping Xinzhou District Hospital Zhang Guifang October 1991 ~ September 1992 with carbamazepine 9 cases of high risk early pregnancy in patients with induced labor , To obtain satisfactory results, are as follows: Clinical data First, the general information: 9 cases aged 24 to 36 years; pregnancy times 1 to 4 times; delivery times 0 to 3 times; gestational weeks 0 to 26 weeks. Case 1: Case 1 is a caesarean section infection, high fixed uterus, the cervix is not easy to expose; Example 2 for multiple uterine fibroids, uterine fibroids protruding into the neck; Example 3 broken water; Example 4 embryo stop; Example 6 anterior placenta, two failed to wear Lei; Example 7 oligohydramnios; Example 8 double vagina, double cervix, double uterus, cesarean section after 5 months, the cervix is not easy to expose; . Second, medication: 9 cases were intramuscular injection of testosterone propionate for 3 days, 100mg daily, the first 4 days after vaginal fornix release PG05 suppository. On the drug method: vulva, vaginal disinfection, taking gloves l tablets (1mg each) into the vaginal fornix, every 2 to 3 hours on the drug, the patient bed rest for 1 hour, while oral stupid Etanercept 1 ~ 2 tablets, prevention of gastrointestinal side effects. Suppositories with PG05 total amount of 2 ~ 4mg. Third, the effect of judgment: ① successful induction of labor: fetal placenta completely discharged or fetal discharge; ② induced labor effective: vaginal softening, cervix expansion to allow surgical termination of pregnancy; ③ induced abortion failure: after the release of drugs 24 hours without abortion, cervix Contractions disappear after opening or stopping, cervix is not open. Results of 9 cases in 8