论文部分内容阅读
用药物方法终止早期妊娠愈来愈广泛应用于临床。由于药物流产,妇女可能产生阴道大量出血而需急诊刮宫。本人在临床工作中遇到43例药物流产后阴道出血量多而行急诊刮宫,报道如下。 1 临床资料 1.1 一般情况:年龄17～43岁,平均28岁。初孕19例,有流产史者11例,产后避孕失败者13例。孕周:孕5周～孕8周。 1.2 用药方法:购买米非司酮及米索后遵说明服药。方法:①米非司酮25mg,每日2次,服完后服用米索600ug;②米非司酮每日晨服50mg,晚服25mg,服完后次日服米索600ug。 1.3 诊断与治疗:患者服药毕于2～8小时不等,阴道出血量多,3～4倍于月经量,有的伴心悸、头晕,急诊来院,给予常规询问病史,体检及血常规检查,予以输液及对症处
With drug termination of early pregnancy more and more widely used in clinical practice. Due to medical abortion, women may have massive vaginal bleeding requiring emergency curettage. I encountered 43 cases of clinical vaginal bleeding after medical abortion and emergency curettage, reported as follows. 1 Clinical data 1.1 General situation: The age of 17 to 43 years, mean 28 years old. 19 cases of first trimester, 11 cases of abortion history, 13 cases of postpartum contraceptive failure. Gestational week: 5 weeks pregnant ~ 8 weeks pregnant. 1.2 medication: buy mifepristone and misoprostol follow instructions medication. Methods: ① mifepristone 25mg, 2 times a day, after taking the misoprostol 600ug; ② mifepristone daily morning service 50mg, evening service 25mg, served the day after taking misoprostol 600ug. 1.3 Diagnosis and treatment: patients taking 2 to 8 hours after taking medicine, vaginal bleeding, 3 to 4 times the amount of menstruation, and some accompanied by heart palpitations, dizziness, emergency room to hospital for routine medical history, physical examination and blood tests, To be transfusion and symptomatic