何嘉琳辨治绒毛膜下大血肿病例一则
Professor HE Jialin Treated One Case of Huge Subchorionic Hematoma
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1.浙江中医药大学附属杭州市中医院妇二科,杭州 310007
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方晓红, 何嘉琳. 何嘉琳辨治绒毛膜下大血肿病例一则[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907100&Fpath=home&index=0
FANG Xiaohong, HE Jialin. Professor HE Jialin Treated One Case of Huge Subchorionic Hematoma[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907100&Fpath=home&index=0
方晓红, 何嘉琳. 何嘉琳辨治绒毛膜下大血肿病例一则[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907100&Fpath=home&index=0 DOI:
FANG Xiaohong, HE Jialin. Professor HE Jialin Treated One Case of Huge Subchorionic Hematoma[DB/OL].(2023-09-18)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=41907100&Fpath=home&index=0 DOI:
病史摘要,2,患者因“停经18+2周,反复阴道出血量多3周”求诊,超声绒毛膜下血肿,最大的时候急诊超声提示:单活胎,绒毛膜下血肿,孕妇宫腔上段至下段绒毛膜下可见液性暗区,范围约10.4×5.0×1.3 cm,内口上方液性暗区,范围约2.2×1.5×0.5 cm。住院治疗期间中药补肾健脾、止血安胎治疗,间苯三酚针40 mg im bid、阿洛西林针3.0、氨甲环酸针0.5静滴抗感染、止血治疗效果不佳,出血多时甚至有100 mL之多。中医诊断 胎动不安 肾虚血热型;带下病西医诊断 晚期先兆流产;绒毛膜下血肿;妊娠合并念珠菌性阴道炎;妊娠合并支原体感染干预措施 黄体酮针20 mg 肌注 1次/日,地屈孕酮片10 mg 口服 2次/日,住院期间曾间苯三酚针80 mg 静滴1次/日,阿乐欣针3 g 静滴 2次/日,多糖铁复合物150 mg 口服 1次/日。克霉唑阴道片(凯妮汀)1片塞阴。中药益气补肾,凉血安胎,前后共三诊。疗效转归 患者病情急且重,病人治疗愿望迫切,遂通过院内疑难病例会诊至导师何嘉琳教授处就诊,一诊血止,三诊绒毛膜下血肿吸收。
Summary of case history, For more than 3 weeks, the emergency ultrasound showed single live fetus, subchorionic hematoma, subchorionic fluid dark area from the upper segment to the lower segment of the uterine cavity, with a range of about 10.4×5.0×1.3 cm, and fluid dark area above the inner mouth, the range is about 2.2×1.5×0.5 cm.,TCM diagnosis, 1. Restlessness of fetus, kidney deficiency and blood heat type 2.Leukorrhagia,Western medicine diagnosis, 1. Late threatened abortion 2. Subchorionic hematoma 3. Pregnancy complicated with candidal vaginitis 4. Pregnancy complicated with mycoplasma infection.,Therapeutic methods, intramuscular injection of progesterone 20 mg once a day, oral administration of didroprogesterone 10 mg twice a day, during hospitalization, phloroglucinol (80mg) was given intravenously once a day, alaxin (3G) was given intravenously twice a day, and polysaccharide-iron complex (150mg) was given orally once a day. Clotrimazole vaginal tablets (kenidine)1 piece of cinerea. Chinese medicine qi tonifying kidney, cooling blood to placental, before and after a total of three treatment.,Clinical outcomes, The patient's condition was urgent and serious, and the treatment was urgent。hematoma gradually absorbed to complete absorption. Professor he Jialin treated this case of huge subchorionic hematoma Effective and fast,。
晚期先兆流产绒毛膜下血肿肾虚血热
key words 1 late threatened abortionkey words 2 subchorionic hematomakey words 3kidney deficiency and blood heat
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