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[阴道产科手术后预防性使用抗生素的价值]

[Value of the preventive use of antibiotics following vaginal obstetric operations].

作者信息

Rechlin D, Wolf M, Koeniger W

机构信息

Frauenklinik, Krankenhauses der Volkspolizei Berlin.

出版信息

Zentralbl Gynakol. 1988;110(9):570-4.

PMID:3407359
Abstract

For a period of 6 years 838 puerperal cases after vaginal obstetric operations (forceps delivery, vacuum extraction, delivery with speculum, manual placenta separation, palpation of the uterus) were critically analysed. The result of the studies suggest that an antibiotic or chemoprophylaxis after vaginal obstetric operations is not successful because of the relatively low infectious morbidity. In obstetrics this prophylaxis is indicated only in delivery by caesarean section as a perioperative short-time prophylaxis.

摘要

在6年的时间里,对838例阴道产科手术后(产钳助产、真空吸引、阴道窥器助产、人工剥离胎盘、子宫触诊)的产褥期病例进行了严格分析。研究结果表明,由于感染发病率相对较低,阴道产科手术后使用抗生素或化学预防并不成功。在产科领域,这种预防仅适用于剖宫产分娩,作为围手术期的短期预防措施。

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