《2016宫外孕.pptVIP

宫外孕东风总医院妇产科 梅春美 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 定义 凡受精卵在子宫体腔以外着床称为异位妊娠(ectopic pregnancy) ，又称宫外孕(extrauterine pregnapncy)。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. tubal pregnancy ovarian pregnancy abdominal pregnancy broad ligment pregnancy cervical pregnancy pregnancy in rudimentary horn Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 异位妊娠的发生率近年上升趋势明显 输卵管妊娠最常见，占95%左右 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 输卵管妊娠tubal pregnancy Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 少见 占60% 占25% 少见 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病因 输卵管炎症 输卵管手术 输卵管发育不良或功能异常 辅助生殖技术 避孕失败 其它 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 病理 输卵管妊娠的特点 子宫的变化 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 输卵管妊娠的特点 输卵管妊娠流产 tubal abortion 输卵管妊娠破裂 rupture of tubal pregnancy Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 陈旧性宫外孕 继发性腹腔妊娠 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 子宫的变化 子宫增大变软 内膜出现蜕膜反应 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 临床表现 症状 体征 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 症状 停经 腹痛 阴道流血 晕厥与休克 腹部包块 一侧下腹隐痛或酸胀感;突感一侧下腹撕裂样痛或阵发性疼痛;下腹部疼痛;全腹痛甚至胃痛、肛门坠胀、排便感、肩胛部放射性疼痛 Eva