Misdiagnosis of Cervical Pregnancy Analysis of 3 cases.doc

 PAGE \* MERGEFORMAT 10 Misdiagnosis of Cervical Pregnancy Analysis of 3 cases [Keywords:] pregnancy, misdiagnosis Cervical pregnancy is quite rare, easily misdiagnosed clinically, adverse consequences for patients. Obstetrics and Gynecology in our hospital from 1992 to 2008 a total of 3 cases of cervical pregnancy treated patients, all cured. Its causes, the causes of misdiagnosis, Diagnosis and differential diagnosis, clinical management are analyzed, are presented below. 1 Clinical data Example 1, the patient, female, 30 years old, August 3, 1992 to incomplete abortion hemorrhagic shock emergency admission. 45 days due to menopause, pregnancy was diagnosed in private clinics to give abortion, vaginal bleeding increased after 5 days . curettage at the local clinic for surgery, intraoperative see “embryonic tissue” plug cervix, giving clamp and curettage, blood loss and more, the injection of ergometrine 0  2 mg, to reduce bleeding, their own home, then still irregular vaginal bleeding, dripping endless, less than menstruation, no abdominal pain. curettage 2 days after surgery, increased vaginal bleeding, fluid resuscitation and hemostatic slight improvement after treatment, 5 days ago, suddenly appeared a large blood , with the heart is difficult discomfort, dizziness, no abdominal pain, and in local hospitals to give infusion, injection of ergometrine, oxytocin and then decreased, and turned to our hospital, G5P2 alive and a woman. Physical examination: T 36  8 ℃, P 110 times / min, R 23 times / min, BP 80/50 mm Hg, gynecological examination: cervix was smooth, blue, purple, soft cervix, a small amount of dark red bleeding, uterine body and cervical no boundaries, about 4 cm × 4 cm × 3 cm sized mass, urinary chorionic hormone (HCG-positive, HGB 58 g / L, ultrasound examination, uterine size 9  5 cm × 4  7 cm × 5  2 cm size, the lower cervical exploration and about 4  5 cm × 4 cm × 3 cm heterogeneous hypoechoic mass, pathological results