卡前列素氨丁三醇治疗难治性产后出血90例临床观察  

THE CLINICAL STUDY OF CARBOPROST TROMETHAMINE IN THE TREATMENT OF 90 CASES OF REFRACTORY POSTPARTUM HEMORRHAGE

作　　者：江少如[1] 郑燕乐[1] 许少榆[1] 

机构地区：[1]揭阳市人民医院,广东揭阳522000

出　　处：《现代医院》2012年第8期48-49,共2页Modern Hospitals

摘　　要：目的观察卡前列素氨丁三醇(欣母沛)治疗难治性产后出血的临床价值和安全性。方法选择因宫缩乏力性产后出血患者90例,在常规治疗(缩宫素、米索前列醇片等)无效后,宫颈注射或宫体注射卡前列素氨丁三醇,观察阴道出血减少情况及药物的不良反应。结果 90例患者中81例效果显著(90.00%),8例有效(8.89%),1例无效(1.11%),子宫收缩痛15例(16.67%),恶心、呕吐、腹泻9例(10.00%)。结论卡前列素氨丁三醇对难治性宫缩乏力性产后出血疗效显著,安全。Objective Observe the clinical value and safety of Carboprost Tromethamine in the treatment of refractory post- partum hemorrhage. Methods Select 90 cases of inertial postpartum hemorrhage after the conventional treatment （ Pitocin, misopros- to tablets） is invalid, injected Carboprost Tromethamine into cervix or uterine body, and observe the bleeding changes and the ad- verse drug reactions. Results In 90 patients, 81 cases with obvious effect （90.00%）, effective in 8 case （ 8.89% ）, and 1 cases ineffective （ 1.11% ） , uterine contraction pain in 15 cases （ 16.67% ） , nausea, vomiting, diarrhea in 9 cases （ 10.00% ）. Conclusion Carboprost Tromethamine for refractory postpartum hemorrhage due to uterine inertia is significant effective and safe.

关 键 词：卡前列素氨丁三醇 难治性子宫收缩乏力 产后出血 

分 类 号：R984[医药卫生—药品]