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目的:对异位妊娠误行药物流产的成因进行分析,并研究其预防措施。方法:对2006-01/2008-10治疗的14例异位妊娠误行药流的患者进行分析,以探讨其成因及预防措施。结果:14例中10例是自行服药,4例在外院服药,服药后均无胎囊排出。结论:加强对孕妇的健康宣教,使其了解服药后病情演变过程;药流前行B超检查,明确有宫内胎囊;提高对药流后腹痛的警惕性,对不能肯定有胎囊排出且持续性腹痛或缓解后又复发的腹痛,要提高警惕,及时行盆腔及B超检查,以预防妇科急腹症的发生。
Objective: To analyze the causes of misdiagnosis of medical abortion and to study its preventive measures. Methods: 14 cases of misdiagnosed abortion patients treated from January 2006 to October 2008 were analyzed to explore their causes and preventive measures. Results: Of the 14 cases, 10 were self-administered and 4 were treated in the outpatient setting. No fetuses were discharged after taking the drug. Conclusion: To strengthen the health education of pregnant women, to understand the evolution of the disease after taking the drug; drug flow B ultrasound examination, a clear intrauterine fetal sac; improve the post-abortion abdominal pain vigilance, can not be sure that the fetal tube discharge and continuity Abdominal pain or recurrence after remission of abdominal pain, to be vigilant, timely pelvic and B-ultrasound to prevent the occurrence of gynecological acute abdomen.