Friday, March 7, 2008
Attention to the prevention of "passenger syndrome"
In the implementation of abortion, few women have nausea, vomiting, dizziness, chest tightness, shortness of breath, paleness, sweat dripping, Jueling limbs, blood pressure, arrhythmia, severe cases may also arise faint McGREGOR, convulsion, shock and other symptoms, General Medicine called the "flow syndrome." Uterine belong pelvic organs, in addition to autonomic nerves (sympathetic and parasympathetic) disclaimer, There rich sensory nerve distribution, the Department of cervical also more sensitive nerve endings. Abortion, was due to cervical traction, expansion and negative pressure, scratching key to the palace wall, thereby stimulating the regional distribution of these nerve endings. Most pregnant women through the nervous system of self-regulation, to tolerance of people with these mechanical stimulation, However, a small number of pregnant women due to autonomic instability, the vagal reflex enhance their own, make the body release a lot of acetylcholine to promote coronary artery spasm, diminished myocardial contractility and cardiac output decrease, This has led to a series of performance. Then after appropriate treatment for patients will not pose a threat, nor sequelae. Crowd syndrome is the cause nerve, the spirit of the comprehensive results, with psychological factors are closely related. According to clinical observation, this syndrome more vulnerable to the mental stress, surgery on people with doubts about pregnant women. Therefore, prevention of this syndrome, first we should proceed on psychological factors, the elimination of people's fear. Avoid excessive tension, but also try to avoid over-fatigue, hunger situation surgery. Surgery as much as possible to reduce the uterine wall Palace mouth and the stimulation intensity (including traction, the dilation of cervix, scratch scratch Palace wall, etc.) started moves to a lighter. For those who have happened to the passenger syndrome pregnant women, again in line abortion, in preoperative 20 -30 minutes. Intramuscular injection of atropine 0.25 mg, Antongding 2 ml. This syndrome to prevent the occurrence of people can bring about good results. It should be emphasized that although the vast majority of surgical abortion is a safe and smooth, but abortion is not a contraceptive measure, It is a contraceptive failure or remedies for certain inappropriate continuation of the pregnancy (if pregnant after illness Patients on certain medications, such as teratogenic factors exist) of the termination of pregnancy. Some couples do not understand so many people, particularly short-term repeat of the crowd to do harm, mistakenly believe that abortion is boxed lunch, even repeated implementation, the women's bodies is a disadvantage. Moreover, the abortion may cause some women often have bad memories, fear of sexual life pregnancy, lead to apathy, which is what we should avoid. Therefore, every pair of couples of childbearing age should conscientiously implement contraceptive measures to minimize abortion.
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