韩延华教授诊治先兆流产合并子宫内血肿1例
增强出版Professor HAN Yanhua's Diagnosis and Treatment of Threatened Abortion with Intrauterine Hematoma
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1.云浮市人民医院,云浮 527300
2.黑龙江中医药大学附属第一医院,哈尔滨 150040
3.黑龙江中医药大学, 哈尔滨 150040
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康针珍, 冯聪, 韩延华. 韩延华教授诊治先兆流产合并子宫内血肿1例[DB/OL].(2023-02-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602428&Fpath=home&index=0
KANG Zhenzhen, FENG Cong, HAN Yanhua. Professor HAN Yanhua's Diagnosis and Treatment of Threatened Abortion with Intrauterine Hematoma[DB/OL].(2023-02-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602428&Fpath=home&index=0
康针珍, 冯聪, 韩延华. 韩延华教授诊治先兆流产合并子宫内血肿1例[DB/OL].(2023-02-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602428&Fpath=home&index=0 DOI:
KANG Zhenzhen, FENG Cong, HAN Yanhua. Professor HAN Yanhua's Diagnosis and Treatment of Threatened Abortion with Intrauterine Hematoma[DB/OL].(2023-02-02)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=33602428&Fpath=home&index=0 DOI:
病史摘要,2,主诉:妊娠12周+,阴道少量出血3天。现病史:患者妊娠12周+,于两天前因劳累出现少量阴道出血遂立即去当地医院就诊,检查B超提示:子宫前位,三径127 mm×83.4 mm×110 mm,胎心:169次/分,胎盘上缘胎膜与子宫前壁间可见77.7 mm×35.7 mm×70.3 mm无回声,内见细点状回声滚动,胎盘下缘与子宫后壁间可见56.6 mm×14 mm×38.9 mm无回声,结果提示:妊娠12~13周,宫腔大量积血可能。遂予地屈孕酮片保胎治疗,并嘱其密切观察流血情况。患者服药后自觉腰腹部隐隐作痛。现患者阴道少量流血,色暗,腰腹隐痛,倦怠乏力,纳眠可,大便正常。中医诊断 胎动不安,肾气亏虚,瘀血内阻证。西医诊断 先兆流产合并子宫内血肿干预措施 韩氏滋肾汤加减,嘱患者密切关注阴道流血情况,禁房事,勿过劳。疗效转归 复查B超显示宫腔内积血消失。患者病情痊愈。
Summary of case history Main complaint, 12 gestational weeks with a small amount of vaginal bleeding for 3 days. Current medical history: the patient was pregnant for 12 weeks and had a small amount of vaginal bleeding due to fatigue two days ago, so he went to the local hospital immediately. The B-ultrasound examination showed that the uterus was in the anterior position, with a three-dimensional diameter of 127 mm×83.4 mm×110 mm, fetal heart rate: 169 times / min, 77.7 mm can be seen between the placenta and the anterior wall of the uterus×35.7 mm×70.3 mm no echo, fine dot echo rolling can be seen inside, and 56.6 mm can be seen between the lower edge of placenta and the posterior wall of uterus×14 mm×38.9 mm without echo. The results suggest that a large amount of blood may accumulate in the uterine cavity at 12~13 weeks of gestation. She was treated with didroxyprogesterone tablets to protect the fetus and was instructed to closely observe the bleeding. The patient felt dull pain in the waist and abdomen after taking the medicine. At present, the patient has a small amount of bleeding in the vagina, dark color, dull pain in the waist and abdomen, fatigue and fatigue, sleeping well, and normal stool.,TCM diagnosis, Restless fetal movement, deficiency of kidney qi, blood stasis syndrome,Western medicine diagnosis, threatened abortion with intrauterine hematoma,Therapeutic methods, HAN's Zishen decoction was added and subtracted. Ask the patient to pay close attention to vaginal bleeding, forbid sex, and do not overwork.,Clinical outcomes, The ultrasonic examination showed that the blood accumulation in the uterine cavity disappeared. The patient recovered.
先兆流产子宫内血肿肾虚血瘀龙江韩氏妇科【适合阅读专业】 妇科产科中医
threatened abortionintrauterine hematomakidney deficiency and blood stasisHAN's gynecology In Longjiang【Suitable majors】 gynecologyobstetricsTraditional Chinese Medicine
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