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題名 | Use of Misoprostol in the Management of an Unsuccessful Abortion Complicated with Pancytopenia and Massive Bleeding=利用misoprostol以處理人工流產失敗且合併嚴重出血和全血球減少的個案:一病例報告 |
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作者 | 李耀泰; 尹長生; 徐文成; 陳福民; 詹景全; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 38:4 1999.12[民88.12] |
頁次 | 頁167-170 |
分類號 | 417.421 |
關鍵詞 | 全血球減少; 流產; Misoprostol; Pancytopenia; Abortion; |
語文 | 英文(English) |
中文摘要 | 背景:在一人工流產失敗的婦女,如件有全血球降低和出血傾向,我們探討使用內科的方法,如口服misoprostol,以取代傳統子宮內搔刮術。 病例報告:一懷孕10週的40歲婦女,4小時而做流產手術。 但因為子宮出血太多而沒有完成流產術,被送至本院。超音波檢查可見子宮內仍有殘餘胎盤組織,血液學檢查發現有全血球下降和凝血功能受損。我們使用口服misoprostol,在一天內子宮胎盤組織全部自然排出,患者的術後狀況良好。 結論:為了避免在流產手術中產生嚴重出血的可能,對以搔括術流產失敗的妊娠,可以口服misoprostol 來處理,也許可以得到不錯的結果。 |
英文摘要 | BACKGROUND: To explore the feasibility of using misoprostol in termination of an early incomplete abortion complicated with pancytopenia and bleeding tendency. CASE REPORT: A 40-year-old female presented with vaginal bleeding that occurred 4 hours after an unsuccessful abortion at 10 weeks of gestation. At that time, pelvic ultrasonography demonstrated some retained placenta) tissues in the uterus. Additionally, hematologic studies revealed pancytopenia penia accompanied with impaired coagulation function. The residual placental tissues were expulsed spontaneously after oral administration of misoprostol. Postabortion recovery was uneventful. CONCLUSIONS: In order to avoid the possibility of intractable hemorrhage in a surgical curettage procedure, oral ingestion of misoprostol may be an alternative for termination of an incomplete abortion. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。