中西医结合保守治疗早期输卵管妊娠1例
A Case of Early Tubal Pregnancy Treated Conservatively with Traditional Chinese and Western Medicine
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1.黑龙江中医药大学研究生院,哈尔滨 150040
2.黑龙江中医药大学附属第一医院妇科二科,哈尔滨 150040
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刘子维, 冯晓玲. 中西医结合保守治疗早期输卵管妊娠1例[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765314&Fpath=home&index=0
LIU Ziwei, FENG Xiaoling. A Case of Early Tubal Pregnancy Treated Conservatively with Traditional Chinese and Western Medicine[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765314&Fpath=home&index=0
刘子维, 冯晓玲. 中西医结合保守治疗早期输卵管妊娠1例[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765314&Fpath=home&index=0 DOI:
LIU Ziwei, FENG Xiaoling. A Case of Early Tubal Pregnancy Treated Conservatively with Traditional Chinese and Western Medicine[DB/OL].(2023-03-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=35765314&Fpath=home&index=0 DOI:
病史摘要,2,患者因“停经49天,阴道流血9天”入院。末次月经2021年12月1日。于2022年1月7日自测尿妊娠试验阳性,1月8日外院查血β-hCG为410.5 mIU/mL,1月14日妇科超声见右侧附件区45.7 mm×18.9 mm×29.0 mm界尚清形不规则的混合回声,提示右侧附件区包块(异位妊娠可能)。入院时右下腹轻微疼痛,阴道少量流血。四诊信息 神志清楚,发育正常,体型适中,精神好,表情正常,面色如常,体位自主,正常步态,气息均匀,双目灵活,口唇正常,舌暗,苔薄,脉象沉弱。中医病证 异位妊娠 未破损期 胎元阻络证中医治法 活血化瘀,杀胚消癥中医诊断 异位妊娠 未破损期 胎元阻络证西医诊断 异位妊娠干预措施 中医治以宫外孕2号方加减,西医给予米非司酮片,结合中医外治法以中药汤剂妇炎灵3号灌肠+微波治疗。疗效转归 痊愈
Summary of case history, The patient was admitted with "49 days of menopause and 9 days of vaginal bleeding". Last menstrual period December 1, 2021. On January 7, 2022, the urine pregnancy test was positive, and on January 8, the blood β-HCG was 410.5mIU/mL in another hospital. On January 14, the gynecological ultrasound showed a clear and irregular mixed echo at the boundary of the right adjunctive area, indicating a mass in the right adjunctive area (possible ectopic pregnancy). On admission, there was mild pain in the right lower abdomen and a small amount of vaginal bleeding.,Symptoms and signs, Clear mind, normal development, moderate body size, good spirit, normal expression, complexion, independent posture, normal gait, even breath, flexible eyes, normal mouth and lips, no fever, no cough, no runny nose, dark tongue, thin moss, weak pulse.,TCM disease and syndrome, Ectopic pregnancy Undamaged period Fetal obstruction syndrome,TCM treatment, Activating blood circulation and removing blood stasis, killing embryos and eliminating disease,TCM diagnosis, ectopic pregnancy undamaged period fetal obstruction syndrome,Western medicine diagnosis, ectopic pregnancy,Diagnostic methods, Peripheral blood beta subunit of human chorionic gonadotropin; Type B ultrasonic inspection,Therapeutic methods, Using traditional Chinese medicine of ectopic pregnancy No. 2 prescription plus or minus, western medicine gave Mifepristone, combined with the external treatment of traditional Chinese medicine with Chinese medicine decoction Fuyanling No. 3 enema + microwave treatment.,Clinical outcomes, Cured
输卵管妊娠保守治疗中西医结合治疗
tubal pregnancyconservative treatmentcombination of Chinese and Western medicine
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