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稽留流产和宫内死胎的处理

Management of missed abortion and fetal death in utero.

作者信息

el-Damarawy H, el-Sahwi S, Toppozada M

出版信息

Prostaglandins. 1977 Sep;14(3):583-90. doi: 10.1016/0090-6980(77)90273-8.

DOI:10.1016/0090-6980(77)90273-8
PMID:905580
Abstract

Termination of pregnancy in missed abortion and intra-uterine fetal death was accomplished using vaginal suppositories of 20 mg PGE2 in 31 cases and the results were compared with oxytocin induction (with or without estrogen pre-treatment) in 17 cases at the doses routinely used in our hospital. The PG suppositories proved much more superior (96.7%) than oxytocin (47.7%), but induced a higher rate of side effects. The latter were not serious and were generally tolerated by the patients. There was a positive correlation between duration of fetal retention in utero and the induction expulsion time. The over all patient acceptance of the method was quite favourable and the approach appears to be a definite advance towards management of these cases.

摘要

对31例稽留流产和宫内死胎患者使用20毫克前列腺素E2阴道栓剂终止妊娠,并将结果与我院常规剂量下17例使用催产素引产(无论是否进行雌激素预处理)的患者进行比较。结果表明,前列腺素栓剂(成功率96.7%)比催产素(成功率47.7%)优越得多,但副作用发生率更高。不过这些副作用并不严重,患者一般能够耐受。胎儿宫内滞留时间与引产排出时间呈正相关。总体而言,患者对该方法的接受度相当高,这种方法似乎是处理这些病例的一个明确进展。

相似文献

1
Management of missed abortion and fetal death in utero.稽留流产和宫内死胎的处理
Prostaglandins. 1977 Sep;14(3):583-90. doi: 10.1016/0090-6980(77)90273-8.
2
Induction of labor in patients with missed abortion and fetal death in utero with protaglandin E2 suppositories.使用前列腺素E2栓剂对稽留流产和胎死宫内患者进行引产。
Am J Obstet Gynecol. 1977 Mar 15;127(6):609-11. doi: 10.1016/0002-9378(77)90358-1.
3
Management of intrauterine fetal death with prostaglandin E2 vaginal suppositories.使用前列腺素E2阴道栓剂处理宫内死胎
Am J Obstet Gynecol. 1980 Aug 1;137(7):753-7. doi: 10.1016/0002-9378(80)90880-7.
4
Management of intrauterine fetal demise and missed abortion using prostaglandin E2 vaginal suppositories.使用前列腺素E2阴道栓剂管理宫内胎儿死亡和稽留流产。
Obstet Gynecol. 1976 May;47(5):602-6.
5
Association of extrauterine fetal death with failure of prostaglandin E2 suppositories.宫外胎儿死亡与前列腺素E2栓剂失效的关联。
Obstet Gynecol. 1979 Mar;53(3 Suppl):56S-58S.
6
A comparison between vaginal prostaglandin E2 suppositories and intrauterine extra-amniotic prostaglandins in the management of fetal death in utero.阴道用前列腺素E2栓与羊膜外宫腔内前列腺素在处理宫内死胎方面的比较。
Am J Obstet Gynecol. 1980 Aug 1;137(7):769-72. doi: 10.1016/0002-9378(80)90883-2.
7
Dramatic pyrexic and cardiovascular response to intravaginal prostaglandin E2.对阴道内前列腺素E2的剧烈发热和心血管反应。
Am J Obstet Gynecol. 1978 Sep 1;132(1):28-32. doi: 10.1016/0002-9378(78)90793-7.
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Prostaglandin E2 induction of labor for fetal demise.前列腺素E2引产用于胎儿死亡。
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Intracervical instillation of PGE2-gel in patients with missed abortion or intrauterine fetal death.对稽留流产或死胎患者进行宫颈内前列腺素E2凝胶灌注。
Arch Gynecol. 1983;233(4):241-5. doi: 10.1007/BF02133797.
10
Safety and efficacy of vaginal prostaglandin E2 suppositories in the management of third-trimester fetal demise.阴道用前列腺素E2栓剂在处理晚期妊娠胎儿死亡中的安全性和有效性
J Reprod Med. 1984 Feb;29(2):101-2.