The occurrence of abortion syndrome is the result of the combined effects of nerves and spirits, and its occurrence or not is related to personal constitution. Women who are nervous and fearful of abortion are more likely to have abortion syndrome. Therefore, to prevent the occurrence of abortion syndrome, we must first start with psychological factors, eliminate the fear of abortion, avoid excessive mental stress, and try to avoid having the operation under excessive fatigue or hunger. If necessary, oral barbiturates can be taken, or acupuncture can be performed on Ren Zhong, Mang Gu, and Nei Guan before surgery. Intramuscular injection of atropine 0.5 mg before surgery has preventive and therapeutic effects. Patients with heart disease or those with poor stress tolerance should be given appropriate sedatives. During the operation, be careful not to force the operation. For those who are in advanced pregnancy and are expected to have difficulty in dilating the cervix, a urinary catheter should be placed 12-14 hours before the operation to dilate the uterus. If it is difficult to dilate the cervix during the operation, paracervical block anesthesia can be given; the negative pressure should be appropriate during uterine suction, and the negative pressure should be reduced after most of the embryonic sac tissue has been sucked out. When the heart rate slows down to below 60 beats/minute, 0.5-1 mg of atropine can be injected intravenously to avoid abortion syndrome. You can also use acupuncture at Guanyuan and Zhongzha points to prevent and treat bathing syndrome. The main treatment is intravenous injection of atropine 0.5-1 mg or 654-220 mg. If it is ineffective, intravenous drip of isoproterenol dissolved in 5% glucose solution is used, and the number of drops is adjusted according to the recovery of heart rate. Ephedrine injection can also be used. For pregnant women who have had abortion syndrome, when they undergo abortion again, 0.25 mg of atropine can be injected intramuscularly 20-30 minutes before the operation. This can have a good effect on preventing the occurrence of abortion syndrome. Painless artificial abortion can also be used. |
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