流产、异位妊娠-英文-Abortian_and_EctopicPregnancy课件.pptVIP

* * * * * * * * * * * * * * * * * * * * * * Surgical Treatment Radical operation：hemodynamically unstable ; interstitial pregnancy; tubal rupture Conservative operation：with wishes to retain potential for fertility －milking or linear salpingostomy＋MTX Medical Treatment principle：inhibiting proliferation of trophoblastic tissue indication：no contraindication to chemotherapy ；no rupture or abortion；mass≤4cm；serum β-HCG ＜ 2000U/L；no obvious internal bleeding；no demonstration of cardiac activity or embryonic bud Medical Treatment Protocol：MTX150 mg，give a second dose on day 7 if necessary Monit