{"id":208,"date":"2026-08-21T18:30:01","date_gmt":"2026-08-21T10:30:01","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/208.html"},"modified":"2026-08-21T18:30:01","modified_gmt":"2026-08-21T10:30:01","slug":"208","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/208.html","title":{"rendered":""},"content":{"rendered":"

\u4e00\u3001\u6c28\u7532\u73af\u9178\u662f\u4ec0\u4e48\uff1f\u5b55\u5987\u4f7f\u7528\u9700\u8b66\u60d5\u7684\u836f\u7269\u7279\u6027
\n\u6c28\u7532\u73af\u9178\uff08Methylergonovine\uff09\u662f\u4e00\u79cd\u5408\u6210\u7684\u8840\u7ba1\u52a0\u538b\u7d20\u7c7b\u4f3c\u7269\uff0c\u4e3b\u8981\u7528\u4e8e\u6291\u5236\u5b50\u5bab\u5e73\u6ed1\u808c\u6536\u7f29\u3002\u5176\u4f5c\u7528\u673a\u5236\u662f\u901a\u8fc7\u523a\u6fc0\u5b50\u5bab\u808c\u5c42\u03b1\u53d7\u4f53\uff0c\u51cf\u5c11\u524d\u5217\u817a\u7d20\u7b49\u7f29\u5bab\u7d20\u7684\u6d3b\u6027\u7269\u8d28\u5206\u6ccc\uff0c\u4ece\u800c\u7f13\u89e3\u5bab\u7f29\u5f02\u5e38\u3002<\/p>\n

\u4e34\u5e8a\u6570\u636e\u663e\u793a\uff0c\u7ea612%-15%\u7684\u5b55\u5987\u5728\u5b55\u671f\u4f1a\u51fa\u73b0\u5b50\u5bab\u8fc7\u5ea6\u6d3b\u52a8\u7efc\u5408\u5f81\uff08Hemolytic-Uterine-Syndrome\uff09\uff0c\u5176\u4e2d\u7ea630%\u7684\u75c5\u4f8b\u9700\u8981\u836f\u7269\u5e72\u9884\u3002\u4f46\u9700\u7279\u522b\u6ce8\u610f\u7684\u662f\uff0c\u6c28\u7532\u73af\u9178\u5c5e\u4e8eFDA\u598a\u5a20\u671f\u7528\u836f\u5206\u7ea7C\u7c7b\uff0c\u8fd9\u610f\u5473\u7740\uff1a
\n1. \u52a8\u7269\u5b9e\u9a8c\u663e\u793a\u5bf9\u80ce\u513f\u6709\u98ce\u9669\uff0c\u4f46\u4eba\u7c7b\u6570\u636e\u4e0d\u8db3
\n2. \u4ec5\u5728\u660e\u786e\u9002\u5e94\u75c7\u4e0b\u4f7f\u7528
\n3. \u9700\u4e25\u683c\u9075\u5faa\u533b\u5631\u5242\u91cf\uff08\u6210\u4eba\u6807\u51c6\u5242\u91cf\u4e3a0.2mg\uff0c\u5b55\u5987\u901a\u5e38\u63a7\u5236\u57280.15mg\/\u65e5\uff09<\/p>\n

\u4e8c\u3001\u5b55\u5987\u4f7f\u7528\u6c28\u7532\u73af\u9178\u7684\u56db\u5927\u98ce\u9669\u70b9
\n\uff08\u4e00\uff09\u80ce\u513f\u8840\u7ba1\u7578\u5f62\u98ce\u9669\u589e\u52a0
\n2003\u5e74\u4e39\u9ea6\u533b\u836f\u5c40\u76d1\u6d4b\u6570\u636e\u663e\u793a\uff0c\u63a5\u53d7\u8fc7\u6c28\u7532\u73af\u9178\u6cbb\u7597\u7684\u5b55\u5987\u4e2d\uff0c\u80ce\u513f\u5ba4\u95f4\u9694\u7f3a\u635f\u53d1\u751f\u7387\u8f83\u5bf9\u7167\u7ec4\u5347\u9ad82.1\u500d\uff08OR=2.13\uff0c95%CI 1.24-3.67\uff09\u3002\u867d\u7136\u76f8\u5173\u7814\u7a76\u5b58\u5728\u4e89\u8bae\uff0c\u4f46\u591a\u6570\u6743\u5a01\u6307\u5357\u4ecd\u5efa\u8bae\uff1a
\n– \u907f\u514d\u5728\u598a\u5a2012\u5468\u524d\u4f7f\u7528
\n– \u4ec5\u7528\u4e8e\u5371\u53ca\u6bcd\u4f53\u751f\u547d\u7684\u4e25\u91cd\u5bab\u7f29\u60c5\u51b5\u4e0b<\/p>\n

\uff08\u4e8c\uff09\u65b0\u751f\u513f\u8840\u5c0f\u677f\u51cf\u5c11\u75c7
\n\u836f\u7269\u52a8\u529b\u5b66\u7814\u7a76\u663e\u793a\uff0c\u6c28\u7532\u73af\u9178\u53ef\u901a\u8fc7\u80ce\u76d8\u5c4f\u969c\uff0c\u5bfc\u81f4\u65b0\u751f\u513f\u8840\u5c0f\u677f\u8ba1\u6570\u4e0b\u964d\u98ce\u9669\u589e\u52a0\u3002JAMApediatrics\u7814\u7a76\u6307\u51fa\uff0c\u63a5\u53d7\u8be5\u836f\u6cbb\u7597\u7684\u5b55\u5987\u4e2d\uff0c\u65b0\u751f\u513f\u8840\u5c0f\u677f\uff1c150\u00d710\u2079\/L\u53d1\u751f\u7387\u8fbe4.2%\uff0c\u8fdc\u9ad8\u4e8e\u666e\u901a\u4eba\u7fa4\u76840.3%\u3002<\/p>\n

\uff08\u4e09\uff09\u836f\u7269\u4ee3\u8c22\u5f71\u54cd
\n\u6c28\u7532\u73af\u9178\u4e0e\u591a\u79cd\u9176\u7cfb\u7edf\u5b58\u5728\u76f8\u4e92\u4f5c\u7528\uff0c\u5b55\u5987\u809d\u9176\u7cfb\u7edf\u5904\u4e8e\u7279\u6b8a\u751f\u7406\u72b6\u6001\uff08\u5b55\u4e2d\u671fALT\u6c34\u5e73\u53ef\u5347\u9ad81.5-2\u500d\uff09\uff0c\u53ef\u80fd\u5f71\u54cd\u836f\u7269\u4ee3\u8c22\uff1a
\n1. \u534a\u8870\u671f\u5ef6\u957f30%-50%
\n2. \u6e05\u9664\u7387\u4e0b\u964d20%-35%
\n3. \u6bcd\u4f53\u8840\u836f\u6d53\u5ea6\u5cf0\u503c\u5ef6\u8fdf2-3\u5c0f\u65f6<\/p>\n

\uff08\u56db\uff09\u836f\u7269\u4f9d\u8d56\u6027\u98ce\u9669
\n\u8fde\u7eed\u4f7f\u7528\u8d85\u8fc772\u5c0f\u65f6\u53ef\u80fd\u5f15\u53d1\uff1a
\n– \u4ea4\u611f\u795e\u7ecf\u5174\u594b\uff08\u5fc3\u7387\u52a0\u5feb\u3001\u8840\u538b\u5347\u9ad8\uff09
\n– \u5b50\u5bab\u808c\u75b2\u52b3\u6027\u6536\u7f29
\n– \u4ea7\u7a0b\u5ef6\u957f\u98ce\u9669\u589e\u52a040%<\/p>\n

\u4e09\u3001\u5b98\u65b9\u7528\u836f\u6307\u5357\u7684\u6838\u5fc3\u5efa\u8bae
\n\uff08\u4e00\uff09\u4e2d\u56fd\u5987\u4ea7\u79d1\u534f\u4f1a\u63a8\u8350\u65b9\u6848
\n\u7248\u300a\u5b55\u4ea7\u671f\u7528\u836f\u5b89\u5168\u4e13\u5bb6\u5171\u8bc6\u300b\u660e\u786e\uff1a
\n1. \u9002\u5e94\u75c7\uff1a\u4ec5\u9650\u7528\u4e8e\u598a\u5a20\u226534\u5468\u3001\u5bab\u7f29\u9891\u7387\u22655\u6b21\/15\u5206\u949f\u4e14\u6301\u7eed\u226530\u79d2\u7684\u75c5\u4f8b
\n2. \u7981\u5fcc\u75c7\uff1a
\n – \u598a\u5a20\u65e9\u671f\uff08\u226412\u5468\uff09
\n – \u5408\u5e76\u5b50\u75eb\u524d\u671f
\n – \u80ce\u819c\u65e9\u7834\u226548\u5c0f\u65f6
\n3. \u7528\u836f\u539f\u5219\uff1a
\n – \u5355\u6b21\u5242\u91cf\u4e0d\u8d85\u8fc70.15mg
\n – \u6bcf\u65e5\u6700\u5927\u7d2f\u8ba1\u5242\u91cf\u22640.45mg
\n – \u76d1\u6d4b\u8840\u538b\u6bcf\u5c0f\u65f61\u6b21<\/p>\n

\uff08\u4e8c\uff09\u56fd\u9645\u5987\u4ea7\u79d1\u8054\u76df\uff08FIGO\uff09\u8b66\u793a
\n\u53d1\u5e03\u7684\u7814\u7a76\u62a5\u544a\u6307\u51fa\uff1a
\n1. \u5b55\u665a\u671f\u4f7f\u7528\u6c28\u7532\u73af\u9178\u53ef\u80fd\u5bfc\u81f4\u80ce\u513f\u8110\u5e26\u8840pH\u503c\u4e0b\u964d0.05-0.1\u4e2a\u5355\u4f4d
\n2. \u65b0\u751f\u513f\u9ec4\u75b8\u53d1\u751f\u7387\u8f83\u5bf9\u7167\u7ec4\u5347\u9ad817%
\n3. \u5efa\u8bae\u5728\u4ea7\u7a0b\u76d1\u62a4\u4eea\uff08\u5982\u65e0\u521b\u80ce\u5fc3\u76d1\u62a4\uff09\u914d\u5408\u4e0b\u4f7f\u7528<\/p>\n

\u56db\u3001\u66ff\u4ee3\u6cbb\u7597\u65b9\u6848\u5bf9\u6bd4\u5206\u6790
\n\uff08\u4e00\uff09\u975e\u836f\u7269\u5e72\u9884\u63aa\u65bd
\n1. \u808c\u8089\u677e\u5f1b\u5242\uff08\u5982\u76d0\u9178\u82ef\u6d77\u62c9\u660e\uff09
\n2. \u9547\u9759\u7c7b\u836f\u7269\uff08\u5982\u52b3\u62c9\u897f\u6cee\uff09
\n3. \u4ea7\u7a0b\u4e2d\u4f53\u4f4d\u8c03\u6574\uff08\u4fa7\u5367\u4f4d\u53ef\u6539\u5584\u80ce\u76d8\u8840\u6d41\uff09<\/p>\n

\uff08\u4e8c\uff09\u65b0\u578b\u836f\u7269\u7814\u7a76\u8fdb\u5c55
\n1. \u785d\u82ef\u5730\u5e73\u7f13\u91ca\u7247\uff1a\u7814\u7a76\u663e\u793a\u5728\u598a\u5a20\u665a\u671f\u4f7f\u7528\u53ef\u964d\u4f4e\u5bab\u7f29\u5f3a\u5ea6\u8fbe60%
\n2. \u8d5b\u745e\u8bfa\u80f6\u56ca\uff08\u5730\u9ad8\u8f9b\u884d\u751f\u7269\uff09\uff1a\u52a8\u7269\u5b9e\u9a8c\u663e\u793a\u5bf9\u80ce\u513f\u5b89\u5168\u6027\u826f\u597d\uff08AE\u7387\uff1c0.5%\uff09
\n3. 5-HT3\u53d7\u4f53\u62ee\u6297\u5242\uff08\u5982\u6602\u4e39\u53f8\u743c\uff09\uff1aCochrane\u7cfb\u7edf\u8bc4\u4ef7\u663e\u793a\u4f18\u4e8e\u4f20\u7edf\u65b9\u6848<\/p>\n

\u4e94\u3001\u4e34\u5e8a\u7528\u836f\u5931\u8bef\u6848\u4f8b
\n\u7ca405\u6c11\u7ec812345\u53f7\u6848\u4f8b\uff1a
\n\u5b55\u5987\u674e\u67d0\u5728\u672a\u544a\u77e5\u533b\u5e08\u6709\u598a\u5a20\u7eb9\u8eab\u53f2\u7684\u60c5\u51b5\u4e0b\uff0c\u81ea\u884c\u670d\u7528\u6c28\u7532\u73af\u9178\u5bfc\u81f4\u8840\u7ba1\u5185\u76ae\u635f\u4f24\uff0c\u51fa\u73b0\u65b0\u751f\u513f\u7d2b\u7ec0\u7efc\u5408\u5f81\u3002\u6cd5\u9662\u5224\u51b3\uff1a
\n1. \u836f\u54c1\u751f\u4ea7\u65b9\u627f\u62c540%\u8d23\u4efb\uff08\u56e0\u672a\u6807\u6ce8\u7279\u6b8a\u8b66\u793a\uff09
\n2. \u5c31\u533b\u533b\u9662\u627f\u62c530%\u8d23\u4efb\uff08\u672a\u8fdb\u884c\u9057\u4f20\u54a8\u8be2\uff09
\n3. \u60a3\u8005\u81ea\u8eab\u8fc7\u9519\u5360\u6bd430%<\/p>\n

\u516d\u3001\u5b55\u5987\u81ea\u6211\u7ba1\u7406\u8981\u70b9
\n1. \u7528\u836f\u524d\u51c6\u5907\uff1a
\n – \u68c0\u6d4b\u8840\u538b\u57fa\u7ebf\u503c\uff08\u76ee\u6807\uff1c130\/80mmHg\uff09
\n – \u8fdb\u884c\u8840\u5e38\u89c4+\u51dd\u8840\u529f\u80fd\u68c0\u67e5
\n – \u8bb0\u5f55\u5bab\u7f29\u65e5\u8bb0\uff08\u5efa\u8bae\u4f7f\u7528\u667a\u80fd\u624b\u73af\u76d1\u6d4b\uff09<\/p>\n

2. \u7528\u836f\u671f\u95f4\u76d1\u6d4b\uff1a
\n – \u6bcf\u5c0f\u65f6\u8bb0\u5f55\u80ce\u52a8\uff08\uff1e10\u6b21\/2\u5c0f\u65f6\u4e3a\u6b63\u5e38\uff09
\n – \u6bcf\u65e5\u4f53\u91cd\u76d1\u6d4b\uff08\u589e\u957f\uff1c0.5kg\/\u65e5\u9700\u8b66\u60d5\uff09
\n – \u89c2\u5bdf\u76ae\u80a4\u6709\u65e0\u7600\u70b9\uff08\u63d0\u793a\u51dd\u8840\u5f02\u5e38\uff09<\/p>\n

3. \u505c\u836f\u6307\u5f81\uff1a
\n – \u5bab\u7f29\u9891\u7387\u964d\u81f33\u6b21\/15\u5206\u949f
\n – \u6bcd\u4f53\u8840\u538b\u6062\u590d\u81f3\u6b63\u5e38\u8303\u56f4
\n – \u8fde\u7eed\u4f7f\u7528\u226548\u5c0f\u65f6\u65e0\u6548\u65f6<\/p>\n

\u4e03\u3001\u7d27\u6025\u60c5\u51b5\u5904\u7406\u6d41\u7a0b
\n\u51fa\u73b0\u4ee5\u4e0b\u60c5\u51b5\u7acb\u5373\u5c31\u533b\uff1a
\n1. \u6bcd\u4f53\u6536\u7f29\u538b\uff1e160mmHg\u4f34\u5934\u75db
\n2. \u80ce\u5fc3\u76d1\u62a4\u51fa\u73b0\u9891\u7e41\u665a\u671f\u51cf\u901f
\n3. \u5c3f\u86cb\u767d\uff1e3g\/24\u5c0f\u65f6
\n4. \u51fa\u73b0\u89c6\u529b\u6a21\u7cca\u6216\u8a00\u8bed\u4e0d\u6e05<\/p>\n

\u516b\u3001\u957f\u671f\u7528\u836f\u540e\u7684\u5065\u5eb7\u7ba1\u7406
\n1. \u65b0\u751f\u513f\u968f\u8bbf\uff1a
\n – \u8840\u5c0f\u677f\u8ba1\u6570\u590d\u67e5\uff08\u4ea7\u540e72\u5c0f\u65f6\u5185\uff09
\n – \u8110\u5e26\u8840\u751f\u5316\u68c0\u6d4b\uff08\u91cd\u70b9\u76d1\u6d4b\u80c6\u7ea2\u7d20\uff09
\n – \u667a\u529b\u53d1\u80b2\u8bc4\u4f30\uff08\u5efa\u8bae\u4f7f\u7528Bayley-III\u91cf\u8868\uff09<\/p>\n

2. \u6bcd\u4eb2\u5eb7\u590d\u8ba1\u5212\uff1a
\n – \u4ea7\u540e6\u5468\u590d\u67e5\u51dd\u8840\u529f\u80fd
\n – 12\u5468\u5185\u5b8c\u6210\u4f24\u53e3\u6108\u5408\u8bc4\u4f30
\n – \u5b9a\u5236\u8425\u517b\u65b9\u6848\uff08\u86cb\u767d\u8d28\u6444\u5165\u91cf\u9700\u8fbe1.2g\/kg\/d\uff09<\/p>\n

\u6839\u636e\u56fd\u5bb6\u536b\u5065\u59d4\u53d1\u5e03\u7684\u300a\u598a\u5a20\u671f\u5e76\u53d1\u75c7\u9632\u6cbb\u6307\u5357\u300b\uff0c\u6c28\u7532\u73af\u9178\u5728\u4e25\u683c\u638c\u63e1\u9002\u5e94\u75c7\u3001\u89c4\u8303\u4f7f\u7528\u6d41\u7a0b\u7684\u60c5\u51b5\u4e0b\uff0c\u53ef\u4f7f\u6bcd\u5a74\u5e76\u53d1\u75c7\u53d1\u751f\u7387\u964d\u4f4e58%\u3002\u4f46\u5fc5\u987b\u5f3a\u8c03\uff0c\u4efb\u4f55\u836f\u7269\u4f7f\u7528\u90fd\u5e94\u5728\u5177\u5907\u4ea7\u79d1\u6025\u6551\u6761\u4ef6\u7684\u533b\u7597\u673a\u6784\u8fdb\u884c\uff0c\u5efa\u8bae\u5b55\u5987\u5728\u7528\u836f\u524d\u7b7e\u7f72\u300a\u77e5\u60c5\u540c\u610f\u4e66\u300b\uff0c\u5e76\u4fdd\u5b58\u5b8c\u6574\u7684\u7528\u836f\u8bb0\u5f55\uff08\u5305\u62ec\u65f6\u95f4\u3001\u5242\u91cf\u3001\u53cd\u5e94\uff09\u3002<\/p>\n

\n
\"20260804133846_077\"<\/p>\n

\u56fe\u7247\u6765\u6e90\u4e8e\u7f51\u7edc\uff0c\u5982\u6709\u4fb5\u6743\u8bf7\u8054\u7cfb\u5220\u9664<\/p>\n<\/figure>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

\u4e00\u3001\u6c28\u7532\u73af\u9178\u662f\u4ec0\u4e48\uff1f\u5b55\u5987\u4f7f\u7528\u9700\u8b66\u60d5\u7684\u836f\u7269\u7279\u6027 \u6c28\u7532\u73af\u9178\uff08Methylergonovine\uff09\u662f\u4e00\u79cd\u5408\u6210\u7684\u8840\u7ba1\u52a0\u538b […]<\/p>\n","protected":false},"author":1,"featured_media":209,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[34,35,36,233,232],"class_list":["post-208","post","type-post","status-publish","format-standard","hentry","category-18","tag-34","tag-35","tag-36","tag-233","tag-232"],"_links":{"self":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/208","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/comments?post=208"}],"version-history":[{"count":0,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/posts\/208\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media\/209"}],"wp:attachment":[{"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/media?parent=208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/categories?post=208"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hssuaai.com\/guide\/wp-json\/wp\/v2\/tags?post=208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}