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1.资料和方法:随机抽240例人工流产者(孕40～60天,无禁忌症),取膀胱截石位,消毒外阴、阴道,用窥阴器暴露宫颈,用宫颈钳夹住宫颈前唇,用探针探测宫腔深度。将浸透的1％地卡因棉签插入宫颈管达内口处,待1～2分钟后取出棉签。用6～7号吸管进行吸引流产。结果成功者170例,有效70例。 2.讨论:地卡因可使宫颈扩张而顺利达到人工流产的目的。地卡因麻醉宫颈时,棉签浸药量要多,插入宫颈内口时间要略长(2～3分钟),以使其通过宫颈的粘膜弥散,渗透到宫颈内口粘膜及子宫肌层。地卡因棉签除药物作用外,还有一个机械扩张作用。 本组240例使用地卡因棉签麻醉扩张宫颈后行人工流产,无一例发生人工流产综合征。
Materials and Methods: Randomly draw 240 cases of induced abortion (pregnant 40 to 60 days, no contraindications), take the lithotomy position of the bladder, disinfection of the vulva, vagina, cervix with vial exposure, with cervical forceps clamp the cervix Lip, probe the depth of the uterine cavity with a probe. The infiltration of 1% caffeine cotton swab inserted into the mouth within the mouth of the tube, to be removed after 1 to 2 minutes cotton swab. With 6 to 7 straw suction to abortion. Results of successful 170 cases, effective in 70 cases. 2. Discussion: Cocaine cervical expansion can be made to successfully achieve the purpose of induced abortion. Cocaine anesthesia cervix, cotton swab soaked amount to insert the cervix within a slightly longer time (2 to 3 minutes) to make it through the cervical mucosa dispersed into the mouth of the cervix mucosa and the myometrium. Cocaine swab in addition to the role of drugs, there is a mechanical expansion. This group of 240 patients with dexamethasone cotton anesthesia dilatation of the abortion after abortion, abortion without any other case of induced abortion syndrome.