Pipingas A, Gulmezoglu A M, Mitri F F, Hofmeyr G J
Department of Obstetrics and Gynaecology, Coronation/JG Strijdom Hospital, Baragwanath, South Africa.
East Afr Med J. 1994 Jun;71(6):396-7.
Intraumbilical oxytocin infusion for retained placenta is a relatively new and promising technique. We have tested the clinical feasibility of different infusion techniques in this study. Nine patients had intraumbilical infusions through a mucus aspiration catheter and 12 by an 18 gauge needle. Infusion was successful in 7(77.7%) of 9 cases following catheterisation and in 7(58.3%) of 12 cases following direct injection. Both techniques were clinically feasible, but direct injection was somewhat easier than catheterisation. The importance of non-operative management of retained placenta, particularly in areas with limited medical facilities, is discussed and an approach to the management of retained placenta proposed.
脐内输注催产素治疗胎盘滞留是一种相对较新且有前景的技术。在本研究中，我们测试了不同输注技术的临床可行性。9例患者通过黏液抽吸导管进行脐内输注，12例通过18号针头进行输注。导管插入术后9例中有7例（77.7%）输注成功，直接注射术后12例中有7例（58.3%）输注成功。两种技术在临床上都是可行的，但直接注射比导管插入术稍容易一些。讨论了胎盘滞留非手术管理的重要性，特别是在医疗设施有限的地区，并提出了胎盘滞留的管理方法。
