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[分娩时直肠检查——传统做法还是迫切需要?]

[Rectal examination during labor--tradition or compelling necessity?].

作者信息

Ring D, Ketscher K D, Retzke U

机构信息

Frauenklinik, Bezirkskrankenhauses, Suhl.

出版信息

Zentralbl Gynakol. 1989;111(19):1314-8.

PMID:2588862
Abstract

6,639 consecutive deliveries are followed up with respect to the course of puerperium. All these patients were examined during delivery vaginally. Febrile temperatures sub partu were to be stated in 1.1% and post partum in 2.0%. Subfebrile temperatures within the first 7 days of puerperium were to be seen in 7.0%, neonatal infections in 0.5%. The pro and contra of vaginal versus rectal investigation are discussed. The use of an emulsion containing chlorhexidine an antiseptic gliding substance is recommended for obstetrical examinations before and during labour.

摘要

对6639例连续分娩进行了产褥期过程的随访。所有这些患者在分娩时均进行了阴道检查。产时发热体温占1.1%,产后发热体温占2.0%。产褥期前7天内低热体温占7.0%,新生儿感染占0.5%。讨论了阴道检查与直肠检查的利弊。建议在分娩前和分娩期间进行产科检查时使用含氯己定的乳液,一种防腐润滑剂。

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