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作者报导1例应用羊膜腔内注射美蓝染料诊断胎膜破裂对胎儿引起一系列综合征的不良后果。病例:17岁,孕2产1。末次月经1981年5月7日,预产期1982年2月10日。于34孕周因每5分钟有一次宫缩来院,入院时妇科检查:胎膜完整,宫口扩张1cm,颈管消失60%,胎头浮。给患者静注ritodrine。次日,阴道有液体流出,乃停用ritodrine。阴道内液体作硝嗪纸试验测pH值和玻片找羊齿状结晶均(-)。因未能肯定胎膜是否破裂,在超声直视下作羊膜腔穿刺,在回抽见清亮液体后,注入美蓝2ml。羊水分析L/S比率为1.8,无磷脂酰甘油。注入后15分钟,美蓝经阴道流到阴道垫上。不久产妇临产,给催产素催产。注入美蓝
The authors report 1 case of intramuscular injection of methylene blue dye diagnosis of fetal rupture of the fetus caused a series of syndromes adverse consequences. Case: 17 years old, 2 pregnancies. The last menstruation May 7, 1981, the expected date of February 10, 1982. At 34 weeks of gestation, there was a contractions to the hospital once every 5 minutes. On admission, the gynecological examinations showed that the membranes were intact, the cervix was dilated 1 cm, the neck disappeared 60% and the fetal head floated. Give patients intravenous ritodrine. The next day, vaginal fluid outflow, is the disabled ritodrine. Intravaginal liquid for nitrazine paper test pH and glass slide to find the fermionic crystallization (-). Because of the failure to confirm whether the rupture of membranes, under direct vision for amniocentesis, see the clear liquid in the pumping back, the injection of methylene blue 2ml. Amniotic fluid analysis L / S ratio of 1.8, no phosphatidyl glycerol. 15 minutes after infusion, methylene blue vaginal flow vaginal pad. Shortly after the maternal labor, give oxytocin oxytocin. Into the United States blue