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Clinical analysis of the first bit of cord around neck

NS infusion qd. Km blood test for the normal value 1.2-1.4 times the effective dose for the treatment. According to test results, adjusting the dosage of heparin, medication to the pain of fibroids and tender parts of 4 days after the disappearance of withdrawal. ② the application of antibiotics: with blood WBC and neutrophils increased, or body temperature, the use of cephalosporin antibiotics to normal body temperature and blood WBC 3d withdrawal. ③ If regular contractions are not frequent, that the symptoms of threatened abortion, then treated with 25% magnesium sulfate, usage: add magnesium sulfate 20ml in 200ml saline, 30min completed within the drop, after adding 5% GNS500ml with 30rnl in continuous infusion, bid, medication to disappear 24 hours after the withdrawal contraction. 3. Treatment and delivery conditions: ① All patients 72h after the treatment of symptoms of pain, tenderness disappeared 5 days after the fibroids. WBC, body temperature and after 72h were back to normal after treatment, uterine contractions within 48 hours after administration disappeared. ② When all patients were followed up according to birth in the hospital. Follow-up cases: 16 patients had no recurrence, and both full-term delivery. L5 routine cesarean section in which the surgery went smoothly, cesarean section surgery plus myomectomy,[link widoczny dla zalogowanych], no intraoperative and postoperative bleeding. 1 case of vaginal delivery. The average delivery time (38-I-1.2) W, neonatal Apgar score, 1minApgar score (9.4-tO.6). The average birth weight (3219.56-I-497.93) g, no maternal complication rate was 100%. Discuss the pregnancy with the incidence of uterine leiomyoma degeneration in recent years as delayed marriage and childbearing, elderly primipara significantly increased the incidence of uterine fibroids pregnancy rate also increased. Some statistics of red degeneration of uterine fibroids pregnancy rate was 1.9% a 2.5%, the reason that a variety of endocrine hormones during pregnancy because the body changes, causing uterine smooth muscle cell hypertrophy and connective tissue edema, lymphatic and blood circulation strong lead to fibroids increases, softening, such as the rapid growth of fibroids, blood coagulation, while there is relatively insufficient blood supply, causing fibroids ischemia,[link widoczny dla zalogowanych], malnutrition and other degenerative changes or necrosis, the most common red degeneration. If the surgery will lead to miscarriage, premature birth, uterine rupture during pregnancy. Conservative treatment can prolong gestation, to avoid surgery during pregnancy, on maternal and child are important. Cases in this group. Excellent treatment, cure rate was 100%, no 1 case failed. Heparin is a mucopolysaccharide sulfuric acid ester, is a very important anticoagulant, low-dose heparin can enhance fibrinolysis and reduce blood viscosity, and clear the microcirculation, the blood flow to strengthen and improve the multiple organ perfusion and reduce leaking .... Heparin therapy, just to solve the coagulation, the problem of insufficient blood volume, myoma perfusion to improve the supply, not only reduces the leakage caused by ischemia, but also promote the formation of localized seepage has been absorbed, and thus reduce the stimulation of the uterus,[link widoczny dla zalogowanych], both to achieve the purpose of miscarriage,[link widoczny dla zalogowanych], played a therapeutic effect of fibroid degeneration. Play a role in treating the symptoms, so treatment is very satisfactory.
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