妊娠病异异位妊娠.pptVIP

目的要求: 掌握:异位妊娠的定义、临床表现、诊断及手术 指征。 熟悉:异位妊娠的鉴别诊断;未破损期、已破损 期、包块期的辨证论治;西医对异位妊娠的治 疗原则与治疗方案。 了解:中医病因病机及西医病因与发病机制。 重点:异位妊娠的临床表现及诊断。 难点:异位妊娠的鉴别诊断及治疗思路。 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  输卵管 卵巢 L阔韧带∫ 女性内生殖器 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  回忆 妊娠生理(看视频) ■排可 受精 ■输送 着床 正常妊娠 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  定义 凡孕卵在子宫体腔以外着床发育,称为 异位妊娠”,亦称“宫外孕”。 宫外孕指子宫以外的妊娠,如输卵管妊娠、卵巢妊 娠、腹腔妊娠、阔韧带妊娠 异位妊娠指孕卵位于正常着床部位之外的妊娠,还 可包括宫颈妊娠及子宫残角妊娠。 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  中医学文献中没有“异位妊娠”和 “宫外孕”的病名,但在“停经腹痛 “少腹瘀血”、“癥瘕”等病证中有 类似症状的描述。 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  异位妊娠种类 ■输卵管妊娠占95% ■阔韧带妊娠 ■宫颈妊娠 ■卵巢妊娠 ■残角子宫妊娠 ■腹腔妊娠 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  未破裂的输卵酋壸腹部妊娠 输卵管壶腹部妊娠 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  绒(毛)膜 绒毛侵入管壁 羊膜 输卵管)管壁出血 输卵管管腔 输卯管妊娠剖面示意图 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  间质部妊娠 输卵管间质部妊娠 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  间质部妊娠 V