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目的:探讨孕妇进行药物流产后阴道出血情况,并加以分析。方法:选取2008年1月-2010年1月间使用药物流产的妇女共90例,通过回顾性临床分析来了解其引起的阴道出血。结果:90例孕妇均符合使用药物流产的条件,在服药后,有20例孕妇少量出血,有21例孕妇出血和月经量相似,有32例孕妇出血比月经量多,还有16例孕妇出血量比月经量还多一倍。孕妇胎囊越小,在排除绒毛球时其出血量与月经量相比更多。结论:通过本文的回顾性分析得出,主张药物流产的孕妇,应该尽早诊断,及早用药,来减少阴道出血的情况。但是胎囊较大的孕妇,在绒毛球排除后需要及早服用子宫收缩药,避免出血,还要随时复诊。对于8天后复诊仍在出血的患者,且出血量相较于月经量更多,通过B超确认有强光团的患者,都需要尽早清宫。
Objective: To investigate the situation of vaginal bleeding after medical abortion in pregnant women, and analyze it. Methods: A total of 90 women who used medical abortion between January 2008 and January 2010 were retrospectively analyzed to find out the causes of vaginal bleeding. Results: 90 pregnant women were in line with the conditions of the use of medical abortion, after taking the medication, a small amount of bleeding in 20 pregnant women, 21 cases of pregnant women bleeding and menstruation similar to 32 cases of pregnant women bleeding more than menses, and 16 cases of pregnant women bleeding Volume more than double the amount of menstruation. Pregnant women the smaller the fetal capsule, the exclusion of fluff ball when the amount of bleeding compared with the amount of menstrual more. Conclusion: Through the retrospective analysis of this paper, pregnant women advocating medical abortion should be diagnosed as soon as possible, and medication as soon as possible to reduce the vaginal bleeding. However, the larger fetal capsule pregnant women, the need to remove uterine contraction in the villus ball early to avoid bleeding, but also referral at any time. For 8 days after the referral is still bleeding in patients, and the amount of bleeding compared to the amount of menstrual flow, confirmed by B-ultrasound glaucoma patients, need to curettage as soon as possible.