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近年来在产后出血防治方面报道甚多。我院于1984年1～6月,在分娩第二期末试用催产素加用促胎盘娩出的方法,以减少产后出血量。现报道如下。临床资料一、病例选排孕28周以上,正常胎位,经阴道自然分娩,于分娩第二期末应用催产素者为观察组共377例,未用药者为对照组,共166例。二、采用方法 1.于分娩第二期末分别于胎头仰伸、胎肩娩出、胎体娩出时,将催产素10单位加于25％葡萄糖20ml内静脉推注。 2.使用Crede胎盘压出法或Brandt-Andrews法,一手牵拉脐带,另手在耻骨联合上方轻轻地向后上方推压子宫迫使胎盘娩出。
In recent years, many reports of prevention and treatment of postpartum hemorrhage. Our hospital in 1984 1 ~ June, at the end of the second part of delivery trial oxytocin plus the method of promoting the placenta delivery to reduce the amount of postpartum hemorrhage. Report as follows now. Clinical data A case of pregnancy and pregnancy more than 28 weeks, the normal fetal position, vaginal natural childbirth, oxytocin at the end of the second delivery of observation group were a total of 377 cases, no medication for the control group, a total of 166 cases. Second, the use of methods 1. At the end of the second period of childbirth respectively in the fetal head Yang Shen, shoulder delivery, the carcass is delivered, the oxytocin 10 units plus 25% glucose 20ml intravenous injection. 2. Using Crede placenta press method or Brandt-Andrews method, one hand pull the umbilical cord, and the other in the pubic symphysis above gently push the uterus upward forced the placenta.