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阴道流血

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This may be infected with drug-sustained vaginal bleeding after one of the important reasons.

此感染可能是药流后持续性阴道流血的重要原因之一。

Paying due attention to blood and urine HCG determination,intravaginal B ultrasonography and a comprehensive analysis in the diagnosis of gynecological acute abdomen and suspected early pregnancy is the key to the reduction of missed and incorrect diagnosis of heterotopic pregnancy.

内外科对育龄妇女的急腹症勿忘询问停经史和不规则阴道流血史;妇产科急腹症和早孕疑似病例重视血、尿HCG和阴道B超检测综合分析是降低异位妊娠漏诊率和误诊率的关键。

The fastigium age has advanced about ten years comparing with the ten years befor, and in the clinic symptom, the bellyache rate is the highest; the genesic rate for menopause is similar to vagina blood, the degree and the characteristic of bellyache is related to the gestation rent; The blood amount relates both the gestation rent and the length from the fracture or abortion to cure; dated unusual gravidity is the tubbing bump for the characteristic of soft, faint boundary and ache et al; The electropositive rate for back cove centesis in vagina and colorful B ultrasonic diagnoses is higher than other testing method.

异位妊娠的发病高峰年龄较10年前提前了10年;临床症状中,腹痛发生率最高,停经与阴道流血发生率相似,腹痛的程度和性质与妊娠破裂部位有关;出血量除与妊娠破裂部位有关外,还与破裂或流产至就诊时间的长短有关;陈旧性异位妊娠多有以软、边界不清、触痛、拒按为特点的盆腔包块;阴道后穹窿穿刺、彩色B超诊断阳性率高于其他检测手段。

Hemorrhage from vagina in 26 of 27 cases reduced significantly after operation, 1 case failed after 12 hours whereat accepted second re??embolization, blood liking discharge from vagina disappeared about 10 days.

病例报告]应用Seldinger's技术对27例因各种病因发生的妇产科大出血患者行子宫动脉栓塞术,其中26例在栓塞术后阴道流血量显著减少,1例于栓塞术后12h时再次发生出血,行第2次栓塞术;所有病例阴道血性分泌物均于栓塞后10d之内消失。

CASE REPORTSUterine arterial embolization were performed with Seldinger interventional radiology in 27 cases of gynecologic hemorrhage caused by different kinds of reasons. Hemorrhage from vagina in 26 of 27 cases reduced significantly after operation, 1 case failed after 12 hours whereat accepted second re?embolization, blood liking discharge from vagina disappeared about 10 days.

病例报告]应用Seldinger's技术对27例因各种病因发生的妇产科大出血患者行子宫动脉栓塞术,其中26例在栓塞术后阴道流血量显著减少,1例于栓塞术后12h时再次发生出血,行第2次栓塞术;所有病例阴道血性分泌物均于栓塞后10d之内消失。

CASE REPORTSUterine arterial embolization were performed with Seldinger interventional radiology in 27 cases of gynecologic hemorrhage caused by different kinds of reasons. Hemorrhage from vagina in 26 of 27 cases reduced significantly after operation, 1 case failed after 12 hours whereat accepted second reembolization, blood liking discharge from vagina disappeared about 10 days.

病例报告]应用Seldinger's技术对27例因各种病因发生的妇产科大出血患者行子宫动脉栓塞术,其中26例在栓塞术后阴道流血量显著减少,1例于栓塞术后12h时再次发生出血,行第2次栓塞术;所有病例阴道血性分泌物均于栓塞后10d之内消失。

Results All the pregnancy cyst efflux time,the colporrhagia rate,the colporrhagia time of the observed group have satisfactory results.

结果 观察组的药物流产完全流产率和孕囊排出时间、阴道流血时间、阴道出血量均有满意的效果。

divided the people in early prenancy into two groups: observation group and control group, each group with 100 people. people in observation group were putted misoprostol 0.6mg in the posterior fornix 2 hours before induced abortion and surface anesthesia in the cervix when operation; people in control group accept traditional induced abortion. then compared the indexs about the extention degree of the cervix, abdominal pain, colporrhagia, operation time, completely abortion rate and adverse reaction after operation, et al.

将早孕患者随机分成观察组和对照组两组,每组100例,观察组人工流产术前2h将米索前列醇0.6mg放置阴道后穹窿,手术时行宫颈表面麻醉,对照组行传统人工流产术,比较两组流产过程中宫颈扩张难易程度,腹痛情况,阴道流血情况,手术时间,完全流产率及术后不良反应等指标。

People in observation group were putted misoprostol 0.6mg in the posterior fornix 2 hours before induced abortion and surface anesthesia in the cervix when operation; people in control group accept traditional induced abortion. then compared the indexs about the extention degree of the cervix, abdominal pain, colporrhagia, operation time, completely abortion rate and adverse reaction after operation, et al.

将早孕患者随机分成观察组和对照组两组,每组100例,观察组人工流产术前2h将米索前列醇0.6mg放置阴道后穹窿,手术时行宫颈表面麻醉,对照组行传统人工流产术,比较两组流产过程中宫颈扩张难易程度,腹痛情况,阴道流血情况,手术时间,完全流产率及术后不良反应等指标。

Methods Emergency treatment should be quickly, 0.1%adrenalin hydrochloride gauze was used to oppress the lacerative position, aseptic gauze was used to tamp in order to further compression hemostasis, or used catgut to suture the lacerated vagina. For the blood loss was more, we established the venous transfusion quickly, observed vital signs and vaginal bleeding situation, kept perineum cleanly and dry, prevented infection, strengthened psychological nursing and health guidance.

应急处理应及时迅速,采用将浸有0.1%盐酸肾上腺素纱布压迫裂伤部位,填塞无菌纱条进一步压迫止血,或采用肠线缝合裂伤的阴道,出血量较多者,迅速建立静脉通道,监测生命体征及阴道流血情况,保持会阴清洁、干燥,防止感染,加强心理护理和健康指导。

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