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Severe Uterine Hemorrhage in Misoprostol Induced Abortion - A Case Report

單獨使用misoprostol於流產手術併發嚴重出血:一病例報告

摘要


藥物流產漸成為做早期流產的一種方法。此種流產方法,偶亦可產生嚴重子宮出血。今報告一妊娠7週產婦,接受單獨使用misoprostol來作藥物流產。她發生嚴重陰道出血。後來,她接受了子宮搔刮術取出餘下胎盤組織後,立即發生大量出血,當時以導尿管放入子宮並灌入監水在水球上,立即止血。我們建議使用misoprostol作流產藥物,必須了解各種可能發生之併發症和其處理方法,才能作安全的治療。

關鍵字

藥物流產 出血

並列摘要


Medical abortion with misoprostol has become one of the safest techniques for terminating early intrauterine pregnancy. However, massive uterine bleeding can occasionally occur. Here, we describe a woman with a 7-week intrauterine pregnancy who underwent medical abortion with vaginal misoprostol. Subsequently, she developed excessive uterine bleeding and severe anemia. Uterine curettage was used to remove residual placenta debris, but caused massive uterine bleeding. Insertion of a Foley catheter with inflation of 30 mL water into the balloon successfully controlled the massive uterine hemorrhage.

並列關鍵字

misoprostol medical abortion hemorrhage

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