欣母沛治疗产后出血的体会

目的:分析总结欣母沛(卡前列素氨丁三醇注射液)用于治疗宫缩乏力所致产后出血的疗效。方法:回顾性分析,108例产后出血病人对宫缩乏力所致产后出血使用欣母沛治疗后疗效进行评价。结果:108例产后出血中宫缩乏力所致产后出血96例占88.88%,96例宫缩乏力病人出血量在1000ml以上36例。36例使用欣母沛250ug治疗后30例,无效2例为软产道血管损伤出血,有效3例为前置胎盘子宫下段出血,1例15分钟后再次肌注250ug治疗后出血明显得到控制。结论:欣母沛治疗宫缩乏力所致产后出血效果显著,但应明确诊断,提倡早期使用。

Postpartum hemorrhage is a serious complication in obstetrics, is one of the leading causes of maternal mortality in China, the global maternal mortality the first cause of postpartum hemorrhage, has become the problem years. The main reason of post- partum hemorrhage was uterine atony, uterine atony the drug of choice for oxytocin, but oxytocin affected by oxytocin receptors, the a- mount can not be too large, the lower uterine segment effect is poor, the contraction of ergonovine effective drug lower segment uterine deficiency, application of prostaglandin drug, make uterine atony postpartum hemorrhage due to effective control. In our hospital in re- cent two years using hemabate （carboprost ammonia butyl alcohol injection three） in treatment of severe postpartum hemorrhage caused by uterine inertia, achieved remarkable results, reduces the occurrence of serious complications caused by postpartum hemorrhage, but also reduce the blood transfusion, report as follows now.