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β-hCG超过39,000 mIU/mL的间质部妊娠的保守治疗：一例报告

Conservative Management of Interstitial Pregnancy With Beta-hCG of Over 39,000 mIU/mL: A Case Report.

作者信息

Mayuga Tom J, Antonios Amir, Hutchins Shanna, Saint-Louis Hedwige

机构信息

Family Medicine, WellStar Atlanta Medical Center, Atlanta, USA.

Family Medicine, Ross University School of Medicine, Atlanta, USA.

出版信息

Cureus. 2022 Jun 17;14(6):e26027. doi: 10.7759/cureus.26027. eCollection 2022 Jun.

DOI:10.7759/cureus.26027
PMID:35859969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9288656/
Abstract

Interstitial ectopic pregnancy can be a life-threatening condition as the myometrial tissue around the gestational sac is thin. Furthermore, the interstitial aspect of the fallopian tubes is highly vascularized. Thus, a rupture in this area can result in catastrophic hemorrhage, hemoperitoneum, and shock. Therefore, surgical management is often the preferred mode of therapy. This report identifies the successful medical management of a patient with interstitial ectopic pregnancy with β-hCG of more than 39,000 utilizing methotrexate.

摘要

间质部异位妊娠可能是一种危及生命的情况，因为妊娠囊周围的子宫肌层组织很薄。此外，输卵管间质部血管高度丰富。因此，该区域的破裂可导致灾难性出血、腹腔积血和休克。所以，手术治疗通常是首选的治疗方式。本报告确定了一名间质部异位妊娠患者，其β - 人绒毛膜促性腺激素超过39000，使用甲氨蝶呤进行药物治疗成功的案例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a6b/9288656/e2737bb5f76c/cureus-0014-00000026027-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a6b/9288656/4d4605f246aa/cureus-0014-00000026027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a6b/9288656/113a1f31e489/cureus-0014-00000026027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a6b/9288656/e2737bb5f76c/cureus-0014-00000026027-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a6b/9288656/4d4605f246aa/cureus-0014-00000026027-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a6b/9288656/113a1f31e489/cureus-0014-00000026027-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a6b/9288656/e2737bb5f76c/cureus-0014-00000026027-i03.jpg

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