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22 cases misdiagnosed as ectopic pregnancy induced abortion of early pregnancy

Examination confirmed tubal pregnancy. Conclusion The dynamic observation of such patients should be noted, will be made clear to the patients condition to attract attention, and regular follow-up. When medical abortion pain and bleeding to the hospital for observation and tissue material discharge conditions, accident prevention. Key words intrauterine pregnancy ectopic pregnancy ectopic pregnancy, induced abortion is one of Obstetrics and Gynecology common acute abdomen. The incidence of ectopic pregnancy the rise in recent years, if not timely diagnosis and emergency treatment can be life-threatening ... 1. January 1999 ~ 20O2 admitted to in January misdiagnosed as ectopic pregnancy, induced abortion of early pregnancy in 22 cases, the official line of suction operation in which errors in 14 cases, 8 cases of false medical abortion. The following analysis of misdiagnosed cases in order to investigate the clinical characteristics and preventive measures. 1 1.1 The general clinical data of 22 cases the average age of 24.5 �� 5.0 years, gravidity 2.8 �� 1.5 times. Misdiagnosis of abortion ago: Stop by the 40 ~ 5O days. Enlarged uterus, soft, I Chan positive in urine, smoke house 14 cases, 1 case 40 days before menopause B ultrasound diagnosis of 2 cases of medical abortion before the B-Tip for 12 of 14 cases of abortion methods are used vacuum aspiration abortion, 8 cases of medical abortion, mifepristone 150nag points 2 to 3 days of oral, misoprostol on day 3 Dayton O6nag. 2 Results 2.1 The Palace of 14 cases misdiagnosed suction aspiration of tissue less. 1O 5g cases the amount of suction within the organization. 1O cases recorded no villi and embryonic tissues, 4 cases of pathological examination confirmed that no fluff. 12 cases of postoperative abdominal pain, onset time after 6 hours to 28 days after surgery. Only 2 patients without abdominal pain, the B-review, the early diagnosis of admission. 3 cases of postoperative abdominal pain misdiagnosed as pelvic infection. Abdominal pain after absorbing the time most of the house in 5 days (12/14). 22, 8 cases of misoprostol medical abortion in varying degrees after the fall of paroxysmal abdominal pain several hours after the remission, 8 patients had bleeding, menstrual bleeding is less than the majority (6 / Cool

, and no fetal capsule discharge. 2 patients who walk through the B-ultrasonic examination found no abnormalities. Ectopic pregnancy, abdominal pain time, B-4 patients after abdominal and pelvic examination revealed effusion Annex. 2.322 cases underwent surgical abdominal bleeding> 2000ml in 2 cases, 1000 ~ 2000ml were 1O cases. See all for surgery of tubal pregnancy. Xu Zefang tubal pregnancy: Maternal and Child Health Hospital of Guangdong Electric White Dianbai 525,400 pregnant rupture in 15 cases, 7 cases of tubal abortion. Pathology examination confirmed 22 cases of tubal pregnancy. 3 Discussion 3.1 misdiagnosis of miscarriage or ectopic pregnancy before rupture did not occur,[link widoczny dla zalogowanych], no intra-abdominal hemorrhage, offenders are usually no symptoms such as abdominal bleeding before and only a short-term menopause. Because of poor embryo development, gynecological examination, out of the reach adnexal mass,[link widoczny dla zalogowanych], uterine slightly affected by estrogen slightly soft, with positive determination sim so I misdiagnosed. Misdiagnosis often occurs in early menopause 5o days of early ectopic pregnancy and early intrauterine pregnancy is difficult to identify. 3.2 The misuse of ectopic pregnancy after induced abortion row absorption features of ectopic gestation in decidual Palace only a few clear, and the amount of pregnancy does not match the organization in January, but not floating villi test. Of surgery and preoperative uterine size or less. Bleeding after surgery is not much, but the net dripping, bleeding can not be stopped within 1 week. Surgery for ruptured ectopic pregnancy or miscarriage, abdominal pain, bleeding episodes, but also often misdiagnosed as postoperative infections and pelvic inflammatory disease. 3.3 Error ectopic pregnancy after medical abortion abdominal pain after taking the characteristics of the performance of similar intrauterine pregnancy, and there is bleeding, but the amount of menstrual blood loss was less than the majority. Medical abortion is not wrong very soon after the occurrence of ectopic pregnancy, miscarriage, rupture. Therefore, taking the same day in a few cases, abdominal pain and internal bleeding episodes. Abortion should be differentiated from abdominal pain arising. 3.4 The consequences of misdiagnosis of ectopic pregnancy abortion wrong line, because the time delay in the diagnosis and treatment, in the event of bleeding, clinical symptoms,[link widoczny dla zalogowanych], oncoming rapid, dangerous conditions, such as the rescue in time there will be no serious consequences. 22 patients were operated,[link widoczny dla zalogowanych], more than 1000ml abdominal bleeding in 12 cases, accounting for 545 percent. 3.5 To reduce the misdiagnosis �� must do the following medical abortion and early suction abortion,[link widoczny dla zalogowanych], the former Palace of B-ultrasound, a clear effect only after intrauterine pregnancy; �� Palace organizations less suction aspirate should be sent to pathology examination, careful examination whether the embryo and chorionic villi; �� B-suspicious patients re-review, if necessary, to do B-to carry out dynamic observation llcg; �� suction abortion of early pregnancy bleeding after house is not clean or abdominal pain continued to be alert, Zhu Huanzhe Regular follow-up.
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