论文部分内容阅读
米非司酮配伍米索前列醇终止早孕目前已在临床上广泛应用,但发生宫外孕破裂少见报道,现将笔者遇见的2例报告如下。 例1:患者37岁,末产12岁,以往月经周期正常,人工流产2次,自然流产不全刮宫术2次。本次停经32天,经尿胶体金早早孕试纸测定反应阳性,给予国产米非司酮25mg,每日早晚7时各服1次,连服3天,总剂量150mg,并于第四天早晨空腹口服米索前列醇600μg。在服药的第三天上午起阴道有少量血性分泌物,血量逐渐增多,第四天出血量似正常月经,服米索前列醇后自觉疲乏无力,腰酸,右下腹闷痛,下腹胀感,恶心、呕吐2次,吐出物呈咖啡色,吐后头晕眼花,眼前黑暗。诊时面色苍白,全身
Mifepristone with misoprostol termination of early pregnancy is now widely used in clinical practice, but rare occurrence of ectopic pregnancy rupture report, now I met two cases are as follows. Example 1: The patient 37 years old, 12-year-old at the end of the past, the normal menstrual cycle, induced abortion 2 times, spontaneous abortion incomplete curettage 2 times. The 32-day menopause, urinary colloid gold early pregnancy test strip test positive, give domestic mifepristone 25mg, daily morning and evening 7:00 each serving 1, and even served 3 days, the total dose of 150mg, and on the fourth morning Fasting oral misoprostol 600μg. In the morning of the third day of medication from the vagina a small amount of bloody discharge, blood gradually increased, the fourth day of normal menstrual bleeding, fatigue and weakness after taking misoprostol, backache, right lower quadrant pain, abdominal distension, Nausea, vomiting 2 times, vomit was brown, dizzy dizziness, eyes dark. Pale pale at diagnosis, the whole body