米非司酮加前列腺素终止早期妊娠临床使用时间不长,某些禁忌症尚未引起临床医师重视,现报告一例宫外孕患者应用该药后破裂发生出血性休克。 李某,女,29岁,已婚,孕_2产_1存_1,住院号03334,因行药物流产4天后,下腹剧痛,头晕,眼花6小时,1993年12月7日5:00pm平车送入妇科。患者末次月经1993年10月13日,停经40天有少量阴道血性物,未予介意,停经46天到某医院B超检查,提示子宫增大,未见妊娠囊,二天后又至该院妇科门诊并复查B超,结果与第一次相同。尿HCG(+),于停经51天,采用米非司酮+PG05药物流产,服药第三天回该院服药并留院观察6小时,其时 Mifepristone plus prostaglandin termination of early pregnancy clinical use of time is not long, some contraindications have not attracted the attention of clinicians, is now reported in a case of ectopic pregnancy patients with the drug rupture occurred after hemorrhagic shock. Lee, female, 29 years old, married, pregnancy _2 births _1 _1, hospital number 03334, abortion 4 days after abortion, abdominal pain, dizziness, vertigo 6 hours, December 7, 1993 5: 00pm flat car into gynecology. The patient’s last menstrual period October 13, 1993, menopause 40 days a small amount of vaginal bloody, did not mind, menopause 46 days to a hospital B-ultrasound, suggesting that the uterus increased, no gestational sac, two days later to the hospital gynecology Outpatient and review B-ultrasound, the same result as the first time. Urine HCG (+), in menopause 51 days, the use of mifepristone + PG05 medical abortion, medication the third day back to the hospital medication and stay in hospital for 6 hours, the time