兽医产科学产后疾病.pptxVIP

第十章 产后期疾病Chapter ten Postpartum Disease ;第二节 胎衣不下Lesson Two Retention of Afterbirth;一、病因Section one 、pathogeny ; ;二、症状Section two、symptom;Normal placenta;;;三、预后Section three、prognosis;四、治疗Section four、Treatment;;7.子宫冲洗：无论何种方法，胎衣下来后，应用消毒液反复冲洗子宫2-3次，至流出的液体与注入的液体颜色一致为止。但需注意冲洗压力不易太大，防止流入输卵管。 7. uterinewatering : When the afterbirth came down , wash the uterus with disinfectant for 2-3 times until the influent and the excurrent liquid are of the same colour . Look out that the washing pressure should not be too high , in case of influxing the fallopian tube. 0.1%高锰酸钾 0.25-0.5%利凡诺 0.05%洗必泰 0.1% potassium permanganate 0.25-0.5% rivanol 0.05% chlorhexidine 8.防止感染:冲洗子宫后，给予子宫收缩剂和抗菌素，防止感染； 8. Prevention of infection:After washing the uterus , use hysterotonics and antibiotics to prevent infection . 9.注意全身变化。 9.Pay attention to the change of the whole body . ;五、预防Section five 、 prevention;第三节 子宫弛缓（子宫复旧不全） Lesson Three Atony of uterus;二、病因Section two、pathogeny;三、症状及诊断Section three 、symptom and diagnosis;四、治疗Section four 、Treatment;五、预防Section five 、prevention;第四节 阴道脱lesson four Prolapse of the vagina;一、病因Section one 、pathogeny;二、症状Section two 、symptom;Prolapsed Vagina;;Prolapsed Cervix;; 脱出的阴道，由于长期不能缩回、瘀血，很快发紫，粘膜水肿变肿白，（表明粘膜开始坏死）。受地面磨擦及粪尿污染，常有脏物或有破口，血管破裂、流血，久之，坏死、糜烂。 The prolapsed vagina ,because it can’t retract for a long time ,it will stasis blood ,and turn blue , the mucousedema turn tumoralbus(it means the mucosa begin to become necrotic) .Because of the attrition and the pollution of the fecaluria ,there is always foul and crevasse , the blood vessel breaks ,bleed ,necrose , and become erosion at last . 由于脱出的阴道压迫尿道口，导致排尿困难，反之又加剧努责。完全脱出常因阴道及子宫颈受到刺激，发生强烈努责，可???引起直肠脱出。 Because the prolapsed vagina stress the urethral orifice , it will lead to dysuresia ,and aggravate the valsalva . Due to the cervix uterus is Stimulated ,the completely prolapse will aggravate the valsalva ,even lead to rectal hernia 习惯性阴道脱――一般为