复发性流产中西医结合治疗后成功妊娠1例
增强出版A Case of Successful Pregnancy After Combined Chinese and Western Medical Treatment for Recurrent Miscarriage
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1.贵州中医药大学第二附属医院妇科,贵州 贵阳 550000
2.贵州中医药大学研究生院,贵州 贵阳 550025
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程力, 王丽婷, 张帆. 复发性流产中西医结合治疗后成功妊娠1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32156491&Fpath=home&index=0
CHEN Li, WANG Liting, ZHANG Fan. A Case of Successful Pregnancy After Combined Chinese and Western Medical Treatment for Recurrent Miscarriage[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32156491&Fpath=home&index=0
程力, 王丽婷, 张帆. 复发性流产中西医结合治疗后成功妊娠1例[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32156491&Fpath=home&index=0 DOI:
CHEN Li, WANG Liting, ZHANG Fan. A Case of Successful Pregnancy After Combined Chinese and Western Medical Treatment for Recurrent Miscarriage[DB/OL].(2023-02-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32156491&Fpath=home&index=0 DOI:
病史摘要,2,患者,柏某某,女,31岁,因“胎停育2次,末次清宫术后8+月”就诊。现病史:月经:初潮11岁,经期7天,周期28~30天,末次月经:2015年7月28日。既往史:2012年5月孕2+月B超提示“空囊”行清宫术。2013年2月因“不全纵膈子宫”于外院行“宫腔镜下子宫纵膈分离术”。2014年7月行“腹腔镜下盆腔粘连松解术”+“宫腔镜检查术+子宫纵膈切除术+双侧输卵管LOOK导丝介入术+通液术+诊刮术”。2014年12月孕2+月B超提示“空囊”行清宫术。2015年5月封闭抗体(+),D-D0.68,口服阿司匹林治疗。中医诊断 滑胎(肾精亏虚证)西医诊断 1.复发性流产;2.子宫纵膈切除术后干预措施:初诊:妇科调经Ⅱ号方;二诊:妇科调经I号方、戊酸雌二醇片、地屈孕酮片;三诊:二仙汤合杞菊地黄丸(加合欢皮15,远志12 g,红藤15 g,丝瓜络15 g,女贞子12 g)+滋肾育胎丸;四诊:滋肾育胎丸、戊酸雌二醇片;五诊:滋肾育胎丸;六诊至十四诊:滋肾育胎丸;十五诊:地屈孕酮片。疗效转归 剖宫产一健康男婴,体重3.2 kg。
Summary of medical history, The patient is a 31-year-old female who presented with 2 fetal abortions, 8+ months after the last curettage.Current medical history: menstruation: first period at age 11, 7 days, cycle 28~30 days, last period: July 28, 2015.Past history:May 2012, 2+ months ultrasound indicated empty sac and performed a cervical clearance.In February 2013, she underwent hysteroscopic separation of longitudinal uterus for incomplete longitudinal uterusat an outside hospital. In July 2014, she underwent laparoscopic pelvic adhesion release + hysteroscopy + hysterectomy + bilateral tubal LOOK guidewire intervention + lysis + scraping. In December 2014, the ultrasound indicated empty sac in 2+ months of pregnancy, and a hysterectomy was performed. in May 2015, the closed antibody (+),D-D 0.68, and oral aspirin treatment.,TCM diagnosise ,habitual abortion (Deficiency syndrome of liver and kidney),Western medicine diagnosis ,recurrent spontaneous abortion.Diagnostic methods: First time Diagnosis and treatment: Gynecological Formula II for the regulation of menstruation. Second time Diagnosis and treatment: Gynecological Formula I, estradiol valerate, and detrofloxacin. Third Diagnosis and treatment: ,Erxian Tang ,combined with ,Qixi Ju Dihuang Wan, (plus 15g of Hefei Pi, 12g of Yuan Zhi, 15g of Red Vine, 15g of Silphium, 12g of Ligustrum) + Tonifying the kidney and Fertility Pill. Fourth Diagnosis and treatment: Tonifying the kidney and Fertility Pill, estradiol valerate. Fifth Diagnosis and treatment: Tonifying the kidney and Fertility Pill. Sixth to Fourteenth Diagnosis and treatment: Tonifying the kidney and Fertility Pill. Fifteenth Diagnosis and treatment: Dydrogesterone.,Clinic outcomes ,Cesarean section, baby boy, healthy, weight 3.2kg.
复发性流产中西医结合妊娠张帆
recurrent spontaneous abortioncombination of Chinese tradiational and Western medicinepregnancyZhang Fan
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