杜惠兰治疗异位妊娠验案一则
DU Huilan's Experience in Treatment of Ectopic Pregnancy: A Case Report
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1.河北中医学院中西医结合学院妇科教研室,河北省中西医结合生殖疾病协同创新中心,河北省中西医结合肝肾病证研究重点实验室,石家庄 050091
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周真真, 杜惠兰. 杜惠兰治疗异位妊娠验案一则[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741342&Fpath=home&index=0
ZHOU Zhenzhen, DU Huilan. DU Huilan's Experience in Treatment of Ectopic Pregnancy: A Case Report[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741342&Fpath=home&index=0
周真真, 杜惠兰. 杜惠兰治疗异位妊娠验案一则[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741342&Fpath=home&index=0 DOI:
ZHOU Zhenzhen, DU Huilan. DU Huilan's Experience in Treatment of Ectopic Pregnancy: A Case Report[DB/OL].(2023-03-27)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35741342&Fpath=home&index=0 DOI:
病史摘要,2,患者,女性,31岁,2022年3月22日因“停经52天,间断左侧少腹隐痛17天”就诊。17天前患者前因月经推迟,伴间断少腹隐痛,就诊于河北医科大学第二医院,诊断为“异位妊娠”,予甲氨蝶呤肌注治疗,包块未见明显缩小,故来我院寻求中医治疗。四诊信息:患者面色红润,偶有左侧少腹隐痛,性急易怒,脚凉,纳寐可,大便日1行、成形、质可,小便调。舌暗红,苔薄白,脉弦细数。中医诊断 癥瘕(胎阻胞络证)。西医诊断 异位妊娠。干预措施 中医治以活血化瘀、消癥杀胚为法,予自拟中药方予宫外孕Ⅱ号方加减口服治疗。疗效转归 治疗后血hCG转阴,左侧盆腔包块消失。
Summary of case history, The patient, a 31-year-old female, visited the hospital on March 22, 2022 because of "52 days of menopause, 17 days of intermittent dull pain in the left side of the abdomen". The patient was diagnosed as "ectopic pregnancy" in the Second Hospital of Hebei Medical University due to delayed menstruation and intermittent low abdominal pain 17 days ago, and was treated with methotrexate intramuscular injection. The mass did not shrink significantly, so he came to our hospital for treatment with traditional Chinese medicine. Symptoms and signs: The patient's face is ruddy, occasionally has little abdominal pain on the left side, is irritable and irritable, has cold feet, can sleep well, has one stool every day, has good shape and quality, and has a moderate urine. The tongue is dark red, the coating is thin and white, and the pulse string is thin.,TCM diagnosis, Fistula(Fetal obstruction cytometry).,Western medicine diagnosis, Ectopic pregnancy.,Therapeutic methods, Traditional Chinese medicine takes the method of promoting blood circulation and removing blood stasis, eliminating symptoms and killing embryos, and gives oral treatment to self-prepared traditional Chinese medicine.,Clinical outcomes, After treatment, the blood hCG turned negative, and the gynecological ultrasound showed that the left pelvic mass disappeared
异位妊娠癥瘕胎阻胞络证【适合阅读专业】 中医学中医妇产科学
Ectopic pregnancyFistulaFetal obstruction cytometry【Suitable majors】 traditional Chinese medicine(TCM)TCM gynecology and obstetrics
段涛, 谢幸, 孔北华.妇产科学 第9版[M]. 北京:人民卫生出版社, 2018.74-80.
张婷婷, 冯晓玲.中医妇科学[M]. 北京:中国中医药出版社, 2021.153-158.
谈勇. 中医妇科学[M]. 北京:中国中医药出版社, 2016. 375-386.
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