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            <td height="30" colspan="2" class="main_ArticleTitle" style="word-break:break-all;Width:fixed">盆腔炎更要小心宫外孕</td>
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            <td colspan="2" bgcolor="FFE3F3"> 更新时间:2008-6-20 15:27:48  【字体:<a href="javascript:fontZoomA();" class="top_UserLogin">小</a> <a href="javascript:fontZoomB();" class="top_UserLogin">大</a>】</td>
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              宫外孕破裂是妇科急诊死亡率最高的疾病,可以用“凶险”二字来形容,即使是在医疗条件很好的今天,宫外孕的死亡率仍不低于2%―3%,而在上个世纪50年代以前,这个比例就更高。近十年医生发现,宫外孕在全世界范围有明显增多趋势。美国2000年所做的调查显示,宫外孕的发生率已达以前的6倍,由原来的6%。上升到目前的2%。</P>
<P>  宫外孕之所以凶险,就是因为它容易被人忽略。停经后,如果出现下腹痛、阴道出血等症状,很多人不当回事,直到发生剧烈腹痛,即腹腔内大出血,才急急忙忙上医院,很多人就因为抢救不及时失去了生命。 据介绍,宫外孕可以发生在不同部位,其中输卵管最多,占70%―80%,其次是宫颈和卵巢。此外,还有种植在腹腔里的。因为胚胎需要获得营养,所以会侵蚀母亲的血管来“扎根”,这就是引起大出血的原因。</P>
<P>  宫外孕目前的病因还不清楚,但是医生发现,宫外孕有三大危险因素。首先,盆腔炎症,特别是输卵管炎症,如果存在梗阻、内膜破坏等问题,容易诱发宫外孕。其次,宫外孕与避孕失败(包括带宫内节育器失败和服避孕药失败)有关。再次,宫外孕与腹腔手术有关,特别是盆腔的手术,如阑尾炎手术等,如果造成盆腔粘连,就有可能诱发宫外孕的发生。</P>
<P>  停经、下腹痛、不规则出血要想到宫外孕</P>
<P>  “宫外孕的典型症状为停经后出现下腹痛,过10天左右出现不规则阴道出血。”如果这时患者还没有引起重视,过些日子就会发生腹腔内出血了。因此,医生建议,如果停经后出现下腹痛和不规则阴道出血,就要想到宫外孕的可能,应作妇科检查,他们还建议所有孕早期妇女都作B超检查。</P>
<P>  对于怀疑宫外孕的妇女,作高分辨率的彩超检查,并化验β―HCG,基本上就能明确诊断了。</P>
<P>  早发现能吃药解决</P>
<P>  “过去,人们治疗宫外孕只有开腹手术这一条路,现在医学大大进步了,主要有三种治疗方法。”徐主任说。</P>
<P>  宫外孕在破裂前,胚胎还没完全发育,可以保守治疗,即肌肉注射氨甲喋呤,就能够终止妊娠。但是这种治疗不是100%都能达到目的,但大约1/3病人可以由此免于手术。<BR></P> </P></SPAN>

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            <td width="787"><li>上一篇文章: <a class='LinkPrevArticle' href='/Article/1338.html' title='文章标题:为何盆腔炎能造成不孕
作&nbsp;&nbsp;&nbsp;&nbsp;者:admin
更新时间:2008-6-20 15:27:48'>为何盆腔炎能造成不孕</a></li><br>
              <li>下一篇文章: <a class='LinkNextArticle' href='/Article/1340.html' title='文章标题:盆腔炎不治,埋不孕祸根
作&nbsp;&nbsp;&nbsp;&nbsp;者:admin
更新时间:2008-6-20 15:27:49'>盆腔炎不治,埋不孕祸根</a></li></td>
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          <p>&nbsp;&nbsp;&nbsp;&nbsp;上海市妇女康复专业委员会委员,农工民主党党员,曾先后担任浙医大妇幼保健院妇产科医师、湖州市中心医院妇产科主任、湖州市第二届计划生育协会副会长,现任湖州阳光女子医院名誉院长、妇科主任。</p></td>
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