Objective To explore the effect of ergometrine maleic acid combined with carboprost trometamol in the second caesarean section in women with high risk of postpartum bleeding.Methods A total of 80 women with a high risk of postpartum hemorrhage who had a second caesarean section treated in Dongguan Qiaotou Hospital,Guangdong Province from June 2020 to June 2021 were selected and divided into control group and observation group according to random number table method,with 40 cases in each group.Both groups were treated with oxytocin,and the control group was treated with carboprost trometamol.The observation group added ergometrine maleic acid on the basis of the control group.The bleeding volume,hemoglobin(Hb)levels,coagulation function and adverse reactions between two groups at different time points were compared.Results There was no statistically significant difference in intraoperative bleeding between the two groups of postpartum women(P>0.05).The bleeding volume of the observation group's postpartum women at 30 minutes,90 minutes,and 1 day was lower than that of the control group(P<0.05).Before delivery,there were no statistically significant differences in D-dimer(D-D),fibrinogen(FIB)and Hb between the two groups of postpartum women(P>0.05).On the first day after surgery,the D-D of the observation group was lower than that of the control group,while FIB and Hb were higher than those of the control group(P<0.05).There was no significant difference in heart rate,diastolic blood pressure(DBP),and systolic pressure(SBP)levels between the two groups of patients before and 2 hours after medication(P>0.05).The total incidence of adverse reactions in the observation group was 15.00%,while the total incidence of adverse reactions in the control group was 10.00%.There was no statistically significant difference between the two groups(P>0.05).Conclusion Ergometrine maleic acid combined with carboprost trometamol can effectively reduce postpartum bleeding in the second caesarean section women with high-risk postpartum bleeding tendency,reduce the impact of bleeding on blood coagulation function,reduce the risk of anemia,and will not increase adverse drug reaction of pregnant women and newborns,with high safety.

目的：分析经阴道超声对无症状型宫外孕的诊断价值效。方法：选取我院2015年5月~2020年5月收治的300例疑似无症状型宫外孕患者作为本研究的对象，所有患者均进行腹部超声检查及阴道超声检查，以手术病理检查作为金标准，比较该两种检查方式的诊断符合率。结果：300例疑似无症状型宫外孕患者经手术病理检查统计，256例确诊为无症状型宫外孕；经腹部超声检查诊断出宫外孕有203例，诊断符合率为79.30%；经阴道超声检查诊断出宫外孕有245例，诊断符合率为95.70%。经阴道超声诊断符合率高于腹部超声诊断符合率（P＜

目的 探究黄体酮联合间苯三酚对先兆流产患者孕酮(P)与血清绒毛膜促性腺激素(β-HCG)的影响.方法 回顾性分析我院2018年12月至2019年12月期间收治的98例先兆流产患者临床资料,以治疗方式的不同进行分组,即单一应用黄体酮治疗的患者纳入单一组(49例),联合应用黄体酮与间苯三酚治疗的患者纳入联合组(49例).对两组治疗前后P与β-HCG水平进行观察.结果 治疗前,两组P、β-HCG水平基本一致(P>0.05);治疗后,两组以上两项指标均呈升高趋势,且联合组升幅大于单一组(P<0.05).结论 先兆流产患者接受黄体酮联合间苯三酚治疗,可促进P、β-HCG水平的显著提高.