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单次全身甲氨蝶呤治疗间质部妊娠 1 例报告。

Interstitial Pregnancy Managed with Single-dose Systemic Methotrexate: A Case Report.

机构信息

Department of Obstetrics and Gynecology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal .

出版信息

JNMA J Nepal Med Assoc. 2021 Sep 11;59(241):932-934. doi: 10.31729/jnma.6595.

Abstract

Interstitial pregnancy is a rare type of ectopic pregnancy with a high risk of massive hemorrhage on rupture as compared to ectopic on other sites. The mortality rate for the ruptured interstitial pregnancy is high. Therefore, early diagnosis of such pregnancy before the rupture occurs facilitates appropriate management and avoids life-threatening complications. With the advancement in diagnostic imaging modalities, early diagnosis and more conservative management for interstitial pregnancy have become possible. Here, we report a case of primigravida diagnosed with interstitial pregnancy with ultrasonography and successfully managed with a single dose of methotrexate.

摘要

间质部妊娠是一种罕见的异位妊娠类型,与其他部位的异位妊娠相比,破裂时大出血的风险更高。破裂的间质部妊娠的死亡率很高。因此,在破裂发生之前尽早诊断这种妊娠有助于进行适当的管理并避免危及生命的并发症。随着诊断成像方式的进步,间质部妊娠的早期诊断和更保守的治疗成为可能。在这里,我们报告了一例经超声诊断为间质部妊娠的初产妇,成功地接受了单次甲氨蝶呤治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9249/9107887/26925dafabbf/JNMA-59-241-932-g1.jpg

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