2 cases of cervical pregnancy.docVIP

 PAGE \* MERGEFORMAT 13 2 cases of cervical pregnancy [Keywords:] cervical pregnancy; bleeding; diagnosis; treatment Fertilized egg implantation in the cervix as pregnancy, ectopic pregnancy is rare, more common in by the mothers. In our hospital from February 2007 -2 010 years, were treated between August 2 cases of cervical pregnancy because of early pregnancy in 1 case occurred during outpatient abortion is difficult to control bleeding cervical pregnancy after the consideration transferred to Ward, 1 case was diagnosed 55 days after stopping pregnancy, mifepristone vaginal bleeding after 1 day hospitalization. 1 Clinical data 1.1 Case Introduction Example 1: The patient, aged 38, worker, 3 producing a pregnancy, due 46 days after stopping to check the urine HCG-positive, B-line display intrauterine pregnancy, fetal size consistent with the month of pregnancy. In clinics to give abortion, cervical exploration surgery violet blue, uterine 9cm, cervical enlargement barrel, outside relaxation expansion port, 6 straws blowing smoke when suddenly vaginal bleeding, stop the surgery and cervical injection of oxytocin 20U, sublingual misoprostol 200mg slightly reduced after the blood, check aspirate visible hair, into the ward, give fluids, blood transfusions, anti-inflammatory, promoting uterine contractions and other symptomatic treatment, results are poor, still intermittent vaginal bleeding, the amount of large, bright red, no clots conservative treatment continued to 5h, the decision to intervene in the treatment, uterine artery embolization, gradually reduce the bleeding of surgery, intravenous oxytocin to 3 days, 1 week after mifepristone review the uterus return to normal color Doppler ultrasound to check the weak urinary HCG positive, vaginal bleeding only, discharged. discharged 1 month after the normal menstrual cramps, the level was not changed. finally diagnosed with cervical pregnancy. Example 2: The patient, aged 45, nurse, pregnant