妊娠时限异常及ectopic pregnancy 课件

妊娠时限异常及ectopic pregnancy 课件

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时间:2018-10-07

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1、AbnormalPregnancyTimeLimitandEctopicPregnancyXinWuObstetricandGynecologyHospitalsky_xin1980@yahoo.com.cnAbortionEarlyabortionLateabortionSpontaneousabortionArtificialabortionCase127,female,menopause51days,asmallamountofvaginalbleeding1day,noobviousabdominalpainMenstrualhistory:123

2、/30,menstrualrulesG3P02008,2010spontaneousabortionMiscarriagerequirementsUltrasound:uterus7×5×4cm,embryosac12×8×5,noobviousgerm尿HCG(+)Routinebloodandurine:normalGynecologicalexaminationVulva:marriedtypeVagina:smooth,asmallamountofdarkredbloodstainsCervix:closed,blood-stained,noobv

3、iousliftingpainPalace:front-bit,6wofpregnancysize,notendernessAnnex:softQUESTIONSCurrentdiagnosisFurtherexaminationTreatmentPrognosisQUESTIONSCurrentdiagnosis:missedabortion?Threatenedabortion?Furtherexamination:reviewultrasoundandserumHCG3dayslater,coagulation,observevaginalbleed

4、ingandabdominalpainTreatment:bedrest,progesteronemiscarriagePrognosis:endocrinefactorsandimmunefactorsshouldbecheckedCase222,female,menopause36w,Smallamountofvaginalbleedingwithparoxysmalabdominalpain3hours,halfanhourofthevaginalfluidMenstrualhistory:123/30,menstrualrulesG1P0Check

5、-upsduringpregnancynormalUltrasound:intrauterinesinglefetus,BPD85mm,HC298mm,AC312mm,FL63mm,AFI60mmVaginaliquidPHtest:blueRoutinebloodandurinenormal,bloodpressureandbodytemperaturenormalAbdominalexaminationTopofPalaceat3cmunderxiphoidRegularcontractions20”/5-6’,moderateVaginalexami

6、nationCervicalcompletelyreceptivityCervixcanaccommodate2fingersNoobviousamnioticsacDiameterswithinthepelvicnormalQUESTIONSCurrentdiagnosisFurtherobservationFurthertreatmentQUESTIONSCurrentdiagnosis:G1P036weekspregnant,prematurebirthlaborFurtherobservation:CST,contractions,,anomali

7、esFurthertreatment:reviewcervicaldilationandfetalheaddown4hourslaterCase329,female,menopause42days,asmallamountofvaginalbleeding3days,suddenrightlowerabdominalpain1hourMenstrual:145-7/28,ruleG2P0medicalabortion1timein2010Ultrasound:Uterussize6×5×4cm,endometrial7mm,noobviousgestati

8、onalsac,amixedechoarea25×18×7mmin

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