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流产发生率增加的非常快,美国1975年约有1百万,此简单手术却有大量并发症,可能与医生的经验、操作仔细与否以及某些未知的生理因素有关。本文研究了Missouri计划生育中心门诊1974年5月至1975年7月,420例妊娠三个月以内的流产,均采用宫颈旁局麻下负压吸引术。妊娠的诊断以尿妊娠试验及术前1周至少二位医生阴道检查来证实。以双合诊结果和末次月经另加二周来估计孕龄。手术时再由手术医生证实,若LMP与医生诊断不符,以手术日检查为准。妊娠12周以上者住院手术。尚有流产后并发症,如宫颈撕裂,术时和术后不久的大量出血和穿孔。不全流产的诊断则根据发热(103°F)、寒战、盆腔压痛、阴道出血增
The incidence of miscarriage increases very rapidly. In the United States in 1975, there were about 1 million. There were a large number of complications in this simple operation, which may be related to the doctor’s experience, careful operation or not, and some unknown physiological factors. In this study, Missouri Family Planning Center clinic from May 1974 to July 1975, 420 cases of abortion within three months of pregnancy, are used under local anesthesia with subacute suction. The diagnosis of pregnancy to urine pregnancy test and at least two weeks before surgery doctors to confirm vaginal examination. To double combined results and the last menstruation plus two weeks to estimate gestational age. Surgical operation confirmed by the surgeon, if the LMP does not match with the doctor’s diagnosis, the operation date shall prevail. Pregnancy more than 12 weeks hospitalization. There are complications of abortion, such as cervical torn, massive bleeding and perforation during and shortly after surgery. Diagnosis of incomplete abortion is based on fever (103 ° F), chills, pelvic tenderness, increased vaginal bleeding