论文部分内容阅读
近年来,我们收治4例输卵管结扎术后并发宫外孕病人,现举2例报告如下。 例1:31岁。孕4产2。产后3个月(哺乳期闭经)行输卵管结扎术。术后13天突感右下腹疼痛伴头晕、大便下坠而来院。查体:面色苍白,血压10/6kPa。下腹压痛,以右下腹为著,移动性浊音阳性。妇科检查:宫颈举痛,子宫稍大,子宫右侧们及一3cm×3cm包块、触痛,后穹窿饱满。后穹窿穿刺抽出2ml不凝血。初诊为宫外孕。即行剖腹探查术,术中见右侧输卵管伞端妊娠破裂,可见妊娠囊,手术行同侧输卵管切除。术后8天痊愈。
In recent years, we treated 4 cases of tubal ligation after ectopic pregnancy patients, are reported in 2 cases are as follows. Example 1:31 years old. Pregnant 4 2. Postpartum 3 months (breast-feeding amenorrhea) tubal ligation. 13 days after sudden sensation of right lower quadrant pain with dizziness, stool fell from the hospital. Physical examination: pale, blood pressure 10 / 6kPa. Lower abdominal tenderness, to the right lower abdomen, moving dullness positive. Gynecological examination: Cervical pain, slightly larger uterus, right uterine and a 3cm × 3cm mass, tenderness, after the dome full. After the culdocentesis 2ml out of blood coagulation. First visit for ectopic pregnancy. That line laparotomy, intraoperative see the right side of the tubal umbrella end of pregnancy rupture, we can see gestational sac, surgical line ipsilateral tubal resection. Healed after 8 days.