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孕妇别患恐药症

孕妇别患恐药症

笔者曾碰到这样一位孕妇,该孕妇在妊娠6个月时患阑尾炎,但其家属及本人因担心药物殃及胎儿而拒绝治疗,最终导致败血症而致胎死宫内后早产。
  像这样怕用药的孕妇在临床上已不是少数,“药物对胎儿有影响”已使很多孕妇患有严重的“恐药症”。不可否认,由于胎盘屏障作用是有限的,某些药物对妊娠期胎儿特别是早期妊娠者确有危害,如反应停能使胎儿发生肢短畸形,四环素族药物可妨碍胎儿骨骼发育,属妊娠各期禁忌用药。一部分抗菌药如磺胺药等也对妊娠各期有不同影响。但经医生同意适当应用经选择了的药物并非那么可怕。相反,如果让感染任其发展,病原体侵犯胎盘,祸及胎儿,以及母体感染时,对胎儿的影响可能更为严重。
  孕妇最容易患的疾病是感冒,很多孕妇因害怕药物对胎儿的影响而不敢用药,最终引起高烧或其它并发症出现,而导致流产、早产、死胎或先天异常。因此,应在医生指导下慎重选择用药。避免感染加重和滥用药物,这才是利于优生之举。

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