论文部分内容阅读
①本文就山东医学院附属医院10年来經手术及病理証实为異位妊娠者201例,作简要的临床分析。②在8,628例住院孕产妇中,異位妊娠的发病率为1∶42.9。受患部位以输卵管最多,占95.1%(其中又以右侧输卵管最多,占56.6%),其次为卵巢和宽靱带妊娠。输卵管妊娠中以壶腹部最多,妊娠后果为输卵管破裂,占68.7%。③发病年龄以21—40岁为多,最小者18岁,最大者40岁,患者一般生育力较低,56.2%有不孕史,不孕年限最长达16年,且異位妊娠多见于经产妇。④異位妊娠的主要征象即腹痛,阴道流血,停经,分别占95.5%,70%,99.9%。体征中以腹部压疼最常见,占81.5%,盆内包块占26.7%,子宫頸触疼占64.2%,移动浊音占34.8%。⑤辅助诊断中采取雄蟾蜍試驗及后穹窿穿刺。后者的阳性率高达100%,与应用指征及技术操作有关。⑥異位妊娠的处理以手术为主,以切除患侧输卵管为原則,但如患者周身情况許可,可按照年龄,对生育之要求及病变之范围考虑卵巢,子宫切除术。本文201例均經手术治疗。⑦关于麻醉可采取腰麻,局麻,全麻或静脉麻,一般多用全麻。⑧输血以自血囘輸为主,既經济又方便,必要时亦可用庫血,但自血囘输在无菌性上不如庫血可靠,关于输血或输液最好在手术台上进行,这样便于止血。⑨本文201例无一例有术后并发症,多数在10日内痊愈出院,死亡率仅占1.49%,(全为不可克服性休克)。
① In this paper, Affiliated Hospital of Shandong Medical College in 10 years by surgery and pathology confirmed as ectopic pregnancy in 201 cases, for a brief clinical analysis. ② Among 8,628 hospitalized pregnant women, the incidence of ectopic pregnancy was 1:42.9. Affected parts of the tubal up, accounting for 95.1% (of which the right tubal up again, accounting for 56.6%), followed by ovarian and broad belly with pregnancy. Tubal pregnancy to most ampulla, tubal rupture of pregnancy results, accounting for 68.7%. ③ onset age of 21-40 years old, the smallest of 18 years old, the largest of 40 years old, the general low fertility of patients, 56.2% of infertility history, infertility up to 16 years, and ectopic pregnancy more common in After the maternal. ④ The main signs of ectopic pregnancy abdominal pain, vaginal bleeding, menopause, accounting for 95.5%, 70%, 99.9%. Abdominal tenderness was the most common symptom, accounting for 81.5%, pelvic mass 26.7%, cervical touch 64.2% and mobile voiced 34.8%. ⑤ Auxiliary diagnosis to take male toad test and culdocentesis. The latter’s positive rate of up to 100%, and the application of indications and technical operations. ⑥ treatment of ectopic pregnancy to surgery, in order to remove the ipsilateral fallopian tubes for the principle, but if the patient’s condition permits, according to the age, the requirements of childbearing and the extent of lesions to consider ovaries, hysterectomy. All 201 cases were surgically treated. ⑦ anesthesia can take spinal anesthesia, local anesthesia, general anesthesia or intravenous anesthesia, the general multi-purpose general anesthesia. ⑧ blood transfusion to self-blood-based, not only economical and convenient, if necessary, can also be used blood bank, but the blood transfusion in the sterile than as a reservoir of blood reliable, the best blood transfusion or infusion on the operating table, so Easy to stop bleeding. ⑨ In this paper, no case of 201 cases of postoperative complications, the majority of discharged within 10 days of hospitalization, the mortality rate accounted for only 1.49%, (all irresistible shock).