宫外孕35例临床体会

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宫外孕是非正常妊娠部位受孕或受精卵着床发育。我院近几年来,共收治宫外孕35例,无误诊,现将临床体会分析如下。临床资料我院于1991—1998年5月,共收治异位妊娠35例,年龄最大40岁,最小20岁。25岁以下5例,25岁以上30例。出血量最多达2000ml,少者200ml。卵巢妊娠4例,输卵管妊娠31例(其中二次宫外孕1例),使用宫内外节育器占本组71.4%,女扎术后占8.6%,以往有月经失调、经期腹痛、子宫附件慢性炎症的占14.3%,35例均有停经28至37d不等,但破裂前均有共同的临床症状,如左、右下腹部疼痛,呈持续性隐痛,缓慢加重,卵巢疼痛部位偏高,疼痛较重占100%,20%可触及附件包块,有明显的单侧附件压痛及反跳痛,并伴有早孕反应症状占80%,子宫附件B超探查,10%可发现妊娠部位,尿早早孕试纸15%阳性或弱性。妊娠破裂后,下腹部呈剧裂样痛或撕裂样烧灼痛,伴有肛门坠胀,出血量多时,呈 Ectopic pregnancy is abnormal pregnancy site or fertilized egg implantation development. In recent years, our hospital received a total of 35 cases of ectopic pregnancy, no misdiagnosis, now the clinical experience as follows. Clinical data Our hospital in 1991 - May 1998, a total of 35 cases of ectopic pregnancy, the oldest 40 years old, the youngest 20 years old. 5 under 25 years old, 30 cases over 25 years old. Bleeding up to 2000ml, less 200ml. Ovarian pregnancy in 4 cases, 31 cases of tubal pregnancy (including 1 case of second ectopic pregnancy), the use of IUDs accounted for 71.4% of this group, female surgery accounted for 8.6% after the previous menstrual disorders, menstrual abdominal pain, chronic inflammation of uterine attachment Accounting for 14.3%. All of the 35 patients had menopause 28 to 37 days. However, they all had common clinical symptoms before rupture, such as left and right lower quadrant pain, persistent pain, slow increase, high ovarian pain and heavier pain Accounting for 100%, 20% palpable mass of appendages, there is significant unilateral attachment tenderness and rebound tenderness, and accompanied by symptoms of early pregnancy, 80%, uterine attachment B ultrasonography, 10% can be found in pregnancy, early pregnancy in urine Test paper 15% positive or weak. After the rupture of pregnancy, the lower abdomen was sharp pain or tearing like pain burning, accompanied by anus bulge, bleeding for a long time, was
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