Plateau 2 cases of misdiagnosis of ectopic pregnancy.doc

 PAGE \* MERGEFORMAT 6 Plateau 2 cases of misdiagnosis of ectopic pregnancy [Keywords:] ectopic pregnancy Ectopic pregnancy is a common risk obstetrics and gynecology, weight, one with severe disease. In recent years, the incidence rate increased significantly. Because of its diverse clinical manifestations and signs, and other diseases mixed Hay, now in our hospital misdiagnosed cases of summary as follows. A medical record Patients, female, 33 years old, 5-year IUD insertion, the last menstrual period is unknown, irregular vaginal bleeding more than 15 days, with lower abdominal pain. Past the normal menstruation, pregnancy 2 production 1, Ultrasonography see IUD down, No abnormal bilateral annex: X-ray film prompted palace “T” ring in shame on 2 cm. wife search: vaginal patency, with active bleeding, less, give pain, cervical, uterine tenderness and bilateral accessories (+ the right is staggering. be diagnosed: (1 ring displacement, (2 pelvic inflammatory disease. given anti-inflammatory treatment to stop bleeding, to be relieved from Central .10 days after the readme abdominal pain, vaginal bleeding symptoms without remission, accompanied by fatigue, head halo, according to film prompted emergency surgery from Central Bank, and to remove residual blood clot and part of the product of uterine endometrium. intraoperative obvious tenderness, postoperative intravenous antibiotics, and abdominal pain more particularly at night, and gradually increased, accompanied by fatigue, dizziness, thirst, pale, clammy skin, blood pressure 60/40 mm Hg, to the expansion, infusion, the symptoms are still gradually increased, confusion, irritability, lower abdominal bulging, total abdominal tenderness, rebound tenderness, muscle tension, abdominal puncture blood was drawn, the initial diagnosis: (1 ectopic pregnancy, (2 hemorrhagic shock. in the blood, fluid replacement, anti-shock treatment at the same laparotomy, intraoperative see hemoperitoneum 1 700 ml, right