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[前列腺素E2和F2α用于宫内死胎引产及催产的临床经验]

[Clinical experiences with prostaglandin E 2 and F 2 alpha in the termination of pregnancy and labor induction in intrauterine fetal death].

作者信息

Kunz J, Schreiner W E

出版信息

Schweiz Med Wochenschr. 1977 Jun 4;107(22):757-63.

PMID:877524
Abstract

In 34 cases of therapeutic termination of pregnancy in the second trimester and in 26 cases of fetal death in utero up to the 43rd week of pregnancy, expulsion of the uterine contents was achieved by means of transabdominal-intraamniotic and intravenous administration of prostaglandin (PG) E2 and PGF2lalpha. The average expulsion time was 14 1/2-16h. The following respective doses were needed: for intraamniotic use, 5-25 mg PGE2 and 40-120 mg PGF2alpha, and for intravenous use 5.8-7.3 mg PGE2 and 43.3-52.3 mg PGF2alpha. Two patients required treatment for side effects. These results are compared with existing data from the literature and the clinical application of various prostaglandins is discussed.

摘要

在34例中期妊娠治疗性终止及26例妊娠43周前宫内死胎病例中,通过经腹羊膜腔内及静脉注射前列腺素(PG)E2和PGF2α实现了宫腔内容物的排出。平均排出时间为14.5 - 16小时。所需剂量如下:羊膜腔内使用时,PGE2为5 - 25毫克,PGF2α为40 - 120毫克;静脉使用时,PGE2为5.8 - 7.3毫克,PGF2α为43.3 - 52.3毫克。两名患者因副作用需要治疗。将这些结果与文献中的现有数据进行了比较,并讨论了各种前列腺素的临床应用。

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