欣母沛用于难治性产后出血37例临床分析  

Clinical Study of 37 Cases of Postpartum Hemorrhage by Using Hemabate

作　　者：杨琦芳[1] 

机构地区：[1]内蒙古呼和浩特市第一医院妇产科,内蒙古呼和浩特010020

出　　处：《内蒙古医学杂志》2014年第1期34-35,共2页Inner Mongolia Medical Journal

摘　　要：目的观察欣母沛治疗因宫缩乏力导致产后出血的临床疗效。方法我院从2011年11月至2012年12月因宫缩乏力所致产后出血78例,其中37例患者在应用缩宫素及米索前列醇治疗无效后,加用欣母沛宫体注射或臀部深层肌肉注射,15 min后视效果可重复使用。结果 37例患者中36例有明显效果,有效率97.29%,1例无效,后并发DIC,改行子宫次全切除术。结论欣母沛治疗宫缩乏力性产后出血效果显著。Objective To observe the clinical effect of Hemabate for controlling atomic postpartum hemorrhage. Method From November 2011 to December 2012, there were 78 cases of atonic postpartum hemorrhage, of which 37 patients, after failing to respond to medical treatment with oxytocin, Misprostol, 250 ug Hemabate was injected intrauterinely or buttock deep intramuscular injection, and it could be reused after 15 minutes according to the efficacy. Result There were obvious efficacy in 36 cases, the effective rate was 97.97 % . One patient failed, of which was complicated by disseminated intravascular coagulation （DIe）, and the patient was altered to perform subtotal hysterectomy. Conclusion Hemabate is very effective for treatment of severe atomic postpartum hemorrhage.

关 键 词：欣母沛(氨丁卡前列素) 子宫收缩乏力 产后出血 

分 类 号：R71[医药卫生—妇产科学]