贵州医科大学学报

1999, (01)

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煤矿爆炸所致吸入性损伤的特点
Dose Study of Misoprostol for Planned Delivery at Term

孔豫苏,李伟人,赵伟
Hui Chunlin, et al. Department of Gynecology and Obstetrics, Affiliated Hospital of Guiyang Medical College

摘要(Abstract):

为了解煤矿爆炸吸入性损伤的特点,总结分析了78例此类吸入性损伤病例。结果表明:1煤矿爆炸所致吸入性损伤患者烧伤面积大,头面部均累及,多为浅度烧伤。2吸入性损伤多为轻度,部分病人合并有肺部爆震伤。3肺部感染发生率高。4煤尘和粘焦吸入是现场死亡的主要原因。5可伴有一氧化碳中毒,但机会较少。
To investigate clinical reasonable dose of misoprostol for induction of labor, 72 term pregnant women with single pregnant and vertex presentation were selected. All cases in study for labor induction were without contra-indication of labor induction and misoprostol. The 72 women were randomly allocated into 3 groups: group 1, mp. 25 μg(n=20); group 2, 50 μg(n=30); and group 3, 75 μg (n=22). Misoprostol was given orally every 4 to 6 hours. The Maximum dose in 24 hours is 200 μg. The success rates of induction labor were 75%, 90% and 90.8% for group 1, 2 and 3, respectively. The average duration from administration of misoprostol to start of labor in three groups was 12.83±5.98 hours, 6.82±2.21 hours and 6.35±3.42 hours, respectively; and the average duration from start of misoprostol use to vaginal delivery was 16.33±7.63 hours, 8.60±4.42 hours and 8.82±4.87 hours. The time of first group was significantly longer than the other two (P<0 05) between which there was no significant differences (P>0 05), but the incidence of hypertonic uterine contraction with abnormal pattern of fetal monitoring in group 2 was lower than that in group 3. 50 μg misoprostol is an efficient and safe dosage for labor induction in term pregnancy.

关键词(KeyWords): 烧伤.吸入性,中毒,一氧化碳,肺爆震伤
misoprostol; labor,induced;term pregnancy

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作者(Author): 孔豫苏,李伟人,赵伟
Hui Chunlin, et al. Department of Gynecology and Obstetrics, Affiliated Hospital of Guiyang Medical College

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