异位妊娠失血性休克86例临床分析  

Clinical Analysis of 86 Cases of Ectopic Gravida with Hemorrhagic Shoch

作　　者：熊小琴[1] 

机构地区：[1]广东省江门市人民医院妇产科,广东江门529000

出　　处：《江西医学院学报》2002年第2期81-83,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的 :探讨异位妊娠失血性休克的病因 ,好发对象及不加抗凝剂回输自身血的可行性。方法 :通过对 86例患者病因、术中情况及直接回输自身血进行分析。结果 :86例患者中已有孕育史者 70例 ,占 81.4 % ;2 2～ 3 0岁 5 8人占 67.4 %。手术史 2 2例占 2 5 .6% ,宫腔操作史 67例占 77.9% ,术中见以破裂型为主。不加抗凝剂回输自体血 78例 ,回输血率 90 .7%。结论 :加强妇女保健意识 ,以有已孕育史者和有手术史、宫腔操作史患者为重点监测对象 ,不加抗凝剂回输自身血安全。Objective:To explore the cause of hemorrhagic shock due to ectopic pregnancy, apt to suffer from ectopic pregnancy and the feasibility of autotransfusion without anticoagulin.Methods:The cause of hemorrhagic shock of 86 ectopic gravida, the condition during operation,and direct autotransfusion were analysed. Results:70 (81.4%) patients had pregnancy history; 58 (67.4%) were aged of 22 to 30 years;22 (25.6%) had operation history; 67 (77.9%) had intrauterine operation history.Autotransfusion was performed in 78 patients (90.7%). During operation the ruptured interstitial pregnancy was found in the majority of these patients.Conclusion:It is necessary to enhance women's health consciousness and to surveil the patients with pregnancy, operation,and intrauterine operation history.It is safe for patients to be given with autotransfusion without anticoagulin.

关 键 词：异位妊娠 自身输血 失血性休克 治疗 临床分析 

分 类 号：R714.22[医药卫生—妇产科学]