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目的探讨输卵管妊娠破裂死亡的特点。方法对1990—2005年10月间华西医科大学法医学院14例输卵管妊娠破裂死亡尸检病例进行分析。结果死亡病例以31￣34岁之间居多,职业以农民、个体户、待业多见。孕次和流产的关系分析表明,其妊娠破裂以生育过、怀孕2￣4次、流产2￣4次居多。危险因素以宫内安置节育环、不育症为主。输卵管妊娠死亡多发生在区级医院及个体卫生所,以菌痢治疗多见。尸解所见均为腹腔积血,病理观察见绒毛组织结构,且符合失血性休克的病理改变。结论孕龄期妇女应注意月经期,出现闭经及腹部不适症状应急时到医院做检查,医院同时应做HCG检查及B超检查以便做出正确诊断及治疗。
Objective To investigate the characteristics of ruptured tubal pregnancy. Methods From 1990 to October 2005, 14 cases of tubal ruptured death autopsy in Huayi Medical University School of Forensic Medicine were analyzed. Results The majority of deaths occurred between the ages of 31 and 34, with occupations as peasants and self-employed individuals, and unemployment was more common. Pregnancy and abortion analysis shows that the rupture of their pregnancy to have had pregnancy, pregnancy 2 to 4 times, abortion 2 to 4 times the majority. Risk factors to intrauterine placement of birth control rings, infertility-based. Tubal pregnancy deaths occurred in district hospitals and individual clinics, with bacillary dysentery treatment more common. The autopsy seen are ascites, the pathological observation of villous tissue structure, and consistent with the pathological changes of hemorrhagic shock. Conclusion Pregnant women should pay attention to menstrual period, amenorrhea and abdominal discomfort during emergency to the hospital for examination, the hospital should be done at the same time HCG examination and B-ultrasound in order to make the correct diagnosis and treatment.