Misdiagnosed as ectopic pregnancy medical abortion of intrauterine pregnancy of 8 cases.doc

 PAGE \* MERGEFORMAT 5 Misdiagnosed as ectopic pregnancy medical abortion of intrauterine pregnancy of 8 cases Of: Liu Zhimin, SUN Yan before, Ren Yahui [Keywords:] medical abortion Medical abortion with less pain, no trauma, simple, more than 90% success rate, etc., has been widely used in clinical. But there will be clinically misdiagnosed as ectopic pregnancy, intrauterine pregnancy medical abortion are caused by ruptured ectopic pregnancy , and some even serious complications. our hospital since June 2002 ~ June 2007 were treated in medical abortion ectopic gestation, 8 cases are analyzed and summarized as follows. 1 Clinical data 1.1 General Information The group of 8 patients, aged 22 to 38 years, mean 26 years, 3 cases of first pregnancy, birth of a child in 3 cases, 2 cases with two births. Medical abortion before the diagnosis of intrauterine pregnancy is based on menopausal 38 ~ 49 days increases such as the pregnant uterus 5 to 6 weeks, urinary human chorionic gonadotropin (HCG-positive, 3 cases of pelvic B-hospital diagnosis of intrauterine pregnancy. 1.2 The method of medical abortion mifepristone tablets 25 mg, orally twice a day, and even clothes for three days, the fourth day of Dayton misoprostol tablets 0.6 mg, observation of 6 h. 1.3 clinical symptoms after taking the drugs (a group of oral misoprostol tablets in varying degrees after the fall of paroxysmal abdominal pain, a few hours relief. There were 2 5 h after taking the abdominal pain appeared, pelvic ultrasound Jicha Tip no intrauterine gestational sac, abdominal cavity effusion diagnosed with ectopic pregnancy, emergency surgery. ectopic pregnancy after taking to the time of abdominal pain 5 h ~ 15 days, 6 cases in 3 days after the attack. are in pain after pelvic ultrasound examination, see Annex area and have abdominal effusion mass diagnosed as ectopic pregnancy underwent surgery. (2 had vaginal bleeding, less than the amount of menstruation, no pr