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目的探讨米非司酮配伍米索前列醇终止早期妊娠致阴道出血过多的相关因素及防治措施。方法分析2005年9月～2008年12月发生的46例药物流产后出血量>100ml患者的出血原因。结果药物流产阴道出血过多的原因与孕龄、胚胎组织排出时间及组织残留情况存在密切关系,与孕妇的年龄无关。结论药物流产后阴道出血过多是药物流产的最大缺点。预防药物流产后阴道出血增多的措施是严格掌握门诊药物流产指征,适时清宫,治疗贫血,预防感染。
Objective To investigate the related factors and prevention and treatment of mifepristone with misoprostol in ending excessive vaginal bleeding caused by early pregnancy. Methods The causes of bleeding in 46 patients with bleeding> 100ml after medical abortion were analyzed from September 2005 to December 2008. Results The causes of excessive vaginal bleeding in medical abortion were closely related to the gestational age, the time of embryo tissue excretion and the residual tissue, which had nothing to do with the age of pregnant women. Conclusion Medical vaginal bleeding after vaginal bleeding is the biggest drawback of medical abortion. Prevention of medical abortion vaginal bleeding increased measures to strictly grasp the outpatient medical abortion indications, timely clearance, treatment of anemia, prevention of infection.