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目的分析异位妊娠患者误行药物流产的原因及特点。方法对2008年2月至2012年6月收治的21例异位妊娠误行药物流产患者的资料进行回顾性分析。结果 21例患者中,6例服药前行B超检查提示宫内有妊娠囊,其余未行B超检查。5例为院外自行服药。21例经手术、抗休克等治疗后均痊愈出院。结论药物流产易误用于异位妊娠,应提高对异位妊娠和药物流产的认识,加强药物流产管理,提高B超诊断技术,规范操作规程。
Objective To analyze the causes and characteristics of misdiagnosed medical abortion in patients with ectopic pregnancy. Methods The data of 21 cases of misdiagnosed abortion patients who were treated from February 2008 to June 2012 were analyzed retrospectively. Results Among the 21 patients, 6 cases underwent B-mode ultrasound examination before pregnancy, which indicated gestational sac in the uterus. The rest were not diagnosed by B ultrasound. Five patients took medicine outside the hospital. Twenty-one patients were cured after surgery, anti-shock and so on. Conclusions Misdiagnosis of medical abortion should be used for ectopic pregnancy, the cognition of ectopic pregnancy and medical abortion should be improved, the management of medical abortion should be strengthened, the diagnostic technique of B-ultrasound should be improved, and the rules of operation should be regulated.