文档介绍：妇科急腹症
Gyneacologic Acute Abdomen
以腹部疼痛为主要症状的一组妇科急症。
腹痛
是这三种疾病的主要症状
急：发病突然，症状重，危及生命
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医学PPT
ectopic pregnancy
extrauterine pregnancy
torsion of the ovarian pedicle twisted ovarian cysts
acute pelvic inflammatory disease
a ruptured ovarian lutia
Endomitriosis
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医学PPT
story
Acute abdominal pain
wanted to give bowels
the abdomen rigidity and tenderness、rebound tenderness.
pass water
fainted on the spot
blood presure was zero
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医学PPT
Diagnosis?
ectopic pregnancy
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医学PPT
Ectopic Pregnancy
Definition:
Ectopic pregnancy is defined as pregnancy outsied the uterine cavity
Most common site of occurrence is the fallopian tube
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医学PPT
tubal pregnancy % ovarian pregnancy % cervical pregnancy % pregnancy in rudimentary horn % pregnancy in interstitial %abdominal pregnancy
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7
8
6
3
1
2
5
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医学PPT
the UK : -1% getting more common.
In Finland, tripled between 1966 and 1985
in the US , a four-fold rise between 1970 and 1983.
In Jamaica, an unusually high rate of ectopic pregnancy (1 in 28 deliveries).
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医学PPT
etiology:
受精卵着床于子宫体腔以外。或因为输卵管结构异常，或受精卵行走异常。
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医学PPT
FACTORS
输卵管结构异常受精卵行走异常 Pelvic inflammatory disease Advancing age Tubal surgery DES exposure Previous ectopic， repeated IVF and ovulation
induction Previous termination 经宫腔或腹腔向对侧
of pregnancy 输卵管移行输卵管发育不良或功能异常 smoke IUD Intrauterine device usage 肌瘤，卵巢肿物，EM
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医学PPT
Salpingitis→adhesions of the tubal wall, →retards the passage of the fertilized egg →Ectopic pregnancy。
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医学PPT