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Clinical analysis of 112 cases of shock ectopic pregnany

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Author:
No author available
Journal Title:
CHINA CLINICAL PRACTICAL MEDICINE
Issue:
9
DOI:
No doi available
Key Word:
异位妊娠;休克型;血β-HCG;无阴道流血;Ectopic pregnany;Shock;Blood β-HCG;Non-vaginal beeding

Abstract: Objective Discuss the early diagnosis and treatment of Shock in Ectopic Pregnancy.Methads According to the clinical features,operation findings and pathology result,divided 714 clients of ectopic pregnancy(diagnosed by discharge diagnosis and pathology diagnosis)to four groups:Ruptured Ectopic Pregnancy with shock,Ruptured Ectopic Pregnancy,Aborted Ectopic Pregnancy with Shock and Aborted Ectopic Pregnancy.Compared the difference of pregnancy time,duration of abdominal pain,vaginal bleeding,level of blood β-HCG,bleeding amount in peritoneal space and Hb level in 4 groups.ResultsIn this research,the percentage of each group respectively is:Aborted Ectopie Pregnancy 57.14% (408/714),Ruptured Ectopie Pregnancy 27.17% (194/714) ,Ruptured Ectopic Pregnancy with Shock 11.48% (82/714),Aborted Ectopic Pregnancy with Shock 4.21% (30/714).In the group of Ruptured Ectopic Pregnancy with Shock,the pregnancy time is shortest,the chance of no vaginal bleeding is lowest,duration of abdominal pain is shortest and the level of blood β-HCG is highest.In the group of Aborted Ectopic Pregnancy,the pregnancy time is longest,the chance of no vaginal bleeding is lowest and the level of blood β-HCG is lowest.As for the group of Aborted Eetopic Pregnancy with Shock,it has the highest result of bleeding amount in peritoneal space,decrease of Hb level and blood transfusion amount(packaged red blood cell).ConclusionShort pregnancy time,short duration of abdominal pain,no vaginal bleeding and high level of blood β-HCG could be viewed as the aura of Ruptured Ectopic Pregnancy with Shock,which needs quick and early treatment.For Aborted Ectopic Pregnancy with Shock,the bleeding is slown in small amount and the client usually can tolerate until the shock develops when the bleeding amount is significant.It usually needs large amount of blood transfusion to correct shock and anemia.

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