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应用米非司酮终止早孕已在我国普遍开展,做为一种新生事物,其安全性、方便性已被公认,但其存在的隐患却易被人忽视,为保障广大妇女的身心健康,现将我院收治的药物流产致异位妊娠破裂失血性休克2例报告如下,以引起注意.例1,患者35岁,住院号243604,因“药物流产”后持续阴道流血20天,突发性腹痛5小时于1996年6月收入我院.末次月经1996年4月16日,停经40天时在当地一个体诊所查得尿妊娠试验阳性,即给予米非司酮及米索前列醇行药物流产,服药第4天阴道有一烂肉样物排出,此后20天阴道持续少量流血并伴右下腹胀痛,未引起重视.入院前5小时突然出现右下腹撕裂样疼痛,伴头晕、乏力、大汗淋漓,在来院途中昏倒1次,入院后确诊为“异位妊娠破裂,失血性休克”,立即行手术治疗,术中证实为右侧输卵管壶腹部妊娠破裂.
Application of mifepristone to terminate early pregnancy has been carried out in our country as a new thing, its safety and convenience has been recognized, but its hidden dangers are easily overlooked, in order to protect the general physical and psychological health of women, and now In our hospital admitted to the medical abortion induced ectopic pregnancy rupture hemorrhagic shock in 2 cases reported as follows, in order to attract attention .Example 1, the patient 35 years old, hospitalization 243,604, due to “medical abortion” continuous vaginal bleeding for 20 days, sudden Abdominal pain 5 hours in June 1996 income in our hospital.Malmomania on April 16, 1996, 40 days after menopause at a local clinics found that urine pregnancy test was positive, that is, given mifepristone and misoprostol medical abortion , The first 4 days of medication took a rotten vaginal discharge, vaginal discharge after 20 days and continued a small amount of bleeding with lower right quadrant pain, did not pay attention .5 hours before admission suddenly appeared right lower quadrant tear-like pain, with dizziness, fatigue, large Sweat dripping, collapsed on the way to the hospital 1 times, admitted to hospital after the diagnosis of “ectopic pregnancy rupture, hemorrhagic shock,” immediately surgically treated, intraoperative confirmed tubal ampulla right pregnancy rupture.