姚克敏治疗妊娠并癥瘕案
A Case of YAO Kemin's Treatment of Pregnancy and Abdominal Mass
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1.昆明圣爱中医馆妇科,云南 昆明 650000
2.昆明市中医医院&昆明圣爱中医馆妇科,云南 昆明 650000
3.昆明市中医医院妇科,云南 昆明 650000
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顾旖旎, 徐涟, 高春泽, 等. 姚克敏治疗妊娠并癥瘕案[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42475860&Fpath=home&index=0
GU Yini, XU Lian, GAO Chunze, et al. A Case of YAO Kemin's Treatment of Pregnancy and Abdominal Mass[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42475860&Fpath=home&index=0
顾旖旎, 徐涟, 高春泽, 等. 姚克敏治疗妊娠并癥瘕案[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42475860&Fpath=home&index=0 DOI:
GU Yini, XU Lian, GAO Chunze, et al. A Case of YAO Kemin's Treatment of Pregnancy and Abdominal Mass[DB/OL].(2023-10-08)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=42475860&Fpath=home&index=0 DOI:
病史摘要,2,患者月经周期30~45日,经量偏少,色黯红,经行腰酸痛,无腹痛。末次月经2020年2月22日,现妊娠48日,下腹坠胀疼痛7日。2020年4月10日超声检查示:宫内孕5周,可见微弱原始心管搏动,子宫底壁肌层探及79 mm×60 mm实质稍低回声。超声诊断:子宫肌瘤。因子宫肌瘤较大,西医建议立即终止妊娠。患者因多年未孕,现虽妊娠风险很大,但保胎意愿强烈,故拒绝终止妊娠,而求治于中医。曾于2016年孕7周胎停后未避孕3年未孕,2019年7月行人工授精-胚胎移植术,术后着床,妊娠9周胚胎停止发育行清宫术。中医诊断 妊娠并癥瘕(气血不足,痰瘀阻络,胎元失固证)西医诊断 妊娠并子宫肌瘤干预措施 以益气养血,枢转气机,固冲安胎为治则,施以姚氏妇科家传经验方姚氏保产达生汤。并嘱患者避免劳累、过度运动,营养均衡,饮食生活规律,注重调畅情志。疗效转归 孕38周足月剖宫产下一男婴,重2700 g,母子皆安。
Summary of case history, The patient's menstrual cycle was 30-45 days, the menstrual volume was too small, and the color was dark red. In addition, the patient had lumbar pain and no abdominal pain during menstruation. The last menstruation was February 22, 2020, the current pregnancy was 48 days, and the lower abdomen was swollen and painful for 7 days. On April 10, 2020, the ultrasonic examination showed 5 weeks of intrauterine pregnancy, weak heart tube pulsation could be seen, and 79mm×60mm substantial hypoecho could be detected at myometrium of the uterine bottom wall. The ultrasonic diagnosis was uterine fibroids. Due to the large uterine fibroids, western medicine suggests that pregnancy be terminated immediately. The patient had not been pregnant for many years. Although the risk of pregnancy was high, he had a strong desire to protect the fetus, so he refused to terminate the pregnancy and sought TCM treatment. By taking no contraception, she did not conceive for 3 years after stopping fetal development at 7 weeks of gestation in 2016. In July 2019, she underwent artificial insemination - embryo transfer, implantation after surgery, and curettage after stopping embryonic development at 9 weeks of gestation.,TCM diagnosis, Pregnancy and abdominal mass (deficiency of Qi and blood, phlegm-stasis blocking, and Fetal Insecurity Syndrome),Western medicine diagnosis, Pregnancy and Uterine Fibroids,Therapeutic methods, based on the principles of vigorating Qi and nourishing blood, pivoting Qi movement, and tonifying the Chong channel to prevent miscarriage. Yao's Baochan Dasheng Decoction, the empirical prescription handed down from old generations of Yao's family in gynecology was applied. The patient was also instructed to avoid fatigue, excessive exercise, balanced nutrition, regular diet and life, and pay attention to regulating emotions.,Clinical outcomes, She delivered one baby boy after 38 weeks of full-term cesarean section, weighing 2,700g, and both mother and boy were safe.
姚氏妇科妊娠并癥瘕姚氏保产达生汤
Yao's GynecologyPregnancy and abdominal massYao's Baochan Dasheng Decoction
唐萍.晚期妊娠合并较大子宫肌瘤对母儿的影响[J].中国煤炭工业医学杂志,2011,14(3):319-321.
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