48 cases of ectopic pregnancy diagnosis and treatment.docVIP

 PAGE \* MERGEFORMAT 5 48 cases of ectopic pregnancy diagnosis and treatment [Keywords:] ectopic pregnancy In this paper, the last two years in our hospital 48 cases the cause of ectopic pregnancy, diagnostic methods and principles of such analysis. 1 Clinical data 1.1 General information: The hospital treated 150 cases of critical care obstetrics and gynecology patients, 48 cases of ectopic pregnancy rate of 32%. Patients aged 20 to 43 years, of which 22 to 35 years 42 cases, 87.5%, and hemorrhagic shock 36 patients, 10 patients with severe anemia, combined with moderate anemia in 2 cases. 1.2 Diagnosis Based on clinical manifestations, sudden lower abdominal pain accompanied by tearing the side of the history of menopause, 43 cases, of which 32 to 40 days after stopping 36 cases, 41 to 48 days after stopping in 7 patients without a history of 5 cases of menopause, dizziness , nausea, vaginal and anal sense of falling out with Lek been discredited by a few in 40 patients without these symptoms in 10 cases, 16 cases of sudden syncope, the 48 patients had no obvious history of trauma. vaginal examination and culdocentesis: dark vagina Red blood-stained, full of the posterior fornix, cervical pain, give clear sense of floating Palace has 43 cases, 5 cases this was not obvious, culdocentesis blood was drawn in 45 cases, the rest did not wear clothing. auxiliary examination: 35 patients measured urinary human chorionic gonadotropin (HCG)-positive, 13 cases not done. B-ultrasonic examination: 38 patients diagnosed with B, and 10 cases without B-ultrasound. 2 Results Once diagnosed 46 cases of immediate exploratory laparotomy, of which up to 2000-2500m135 cases of hemorrhage, up to 1000-2000m110 cases. Which ruptured ampullary pregnancy were 27 cases of rupture of the isthmus of pregnancy in 10 cases, 8 cases of abortion Swiss umbrella, splenic rupture in 1 case. two cases l weeks after conservative treatment ineffective, then laparotomy