Clinical analysis of 1 case of cervical pregnancy.docVIP

 PAGE \* MERGEFORMAT 8 Clinical analysis of 1 case of cervical pregnancy [Keywords:] ectopic pregnancy, analysis A medical record Female patient, 40 years old. 50 days due to menopause, irregular vaginal bleeding for 15 days, diagnosed as threatened abortion, induced abortion outside the hospital from surgery, no surgery has villi. Cervix was bleeding due to injection of oxytocin and ergometrine only after the blood alkaline, at 15 days after curettage no incentive vaginal bleeding again, so to the hospital. admission examination: general condition good, with stable vital signs, gynecological examination, see dark red vaginal blood, no active bleeding cervix cervical enlargement was barrel, soft, Palace normal size, double annex no exception. auxiliary examination: Blood β-HCGgt; 320 IU / L, B-Tip: uterine size 7 cm × 4 cm × 3 cm, cervical was 2.6 cm × 4.6 cm, cervix have the germ, there was no fetal heart beat, accessories (-, diagnosis of cervical pregnancy. Treatment: given methotrexate 50 mg + saline 10 ml of partial points of cervical injection, every 3 days time, after the fourth treatment, the vagina to stop bleeding. 1 week after drug withdrawal, the amount of vaginal bleeding occurred more than menstruation, discharge by pathological examination, pregnancy decidua, 7 days after the bleeding clean and review B-see cervical image is clear, without exception, 45 days after stopping menstruation complex wave. 2 Discussion 2.1 Diagnosis of cervical pregnancy ectopic pregnancy is one of common gynecological acute abdomen, and cervical pregnancy is the process of implantation and development of those in the cervix are extremely rare. Incidence rate of about 1:18000, assisted reproductive technology in recent years a large number of applications, the incidence of cervical pregnancy has increased. the clinical features: (1 more common in women of childbearing age by maternal history of induced abortion often have menopausal and early response, th