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Dołączył: 17 Gru 2010
Posty: 604
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Ostrzeżeń: 0/5 Skąd: England
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Temat postu: Great comprehensive surgical treatment of liver ca |
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Great comprehensive surgical treatment of liver cancer
Weeks to cure. Followed up for 55 days menstrual cramps. Example 2, the patient, 29 years old, GP. , Out-patient number 2002104, 40 days due to menopause. Abdominal pain associated with irregular vaginal bleeding fall 2 days at 28 December 2001 to hospital. Physical examination: general condition good, slight lower abdominal tenderness, no rebound tenderness, urine HCG (+). Pelvic ultrasound B: normal-sized uterus, IUD, uterus rectum pouch a small amount of effusion, bilateral annex (I). Search Women: cervical erosion I. , Posterior Palace, tenderness +, bilateral annex untouched abnormal vaginal smear showed: the opportunistic pathogen + + + + + inflammatory cells. Culdocentesis 2ml dark red blood was drawn, remove the IUD a curettage, endometrial scrapings like material sent to pathological examination, pathological results showed: proliferative phase, secretory phase, glandular secretion of strong individuals, some former decidual stromal reaction. Diagnosis: ① ectopic pregnancy (abortion?): ② Candida vaginitis, at 28 December 2001 given in the outpatient treatment of anti-inflammatory + microwave in the lower abdomen. Use of antibiotics penicillin 6.4 million days, no vaginal bleeding, that line the vagina microwave treatment, power 60-65W, time of 15min, 1 day, treatment l4 times. daily urine HCG positive (+), the next day pelvic ultrasound B without exception, from 1 1st mifepristone 75mg1 times at an interval 12h1 times, even for 3 days. Jan. 4 became weak positive urinary HCG, 14 days after mifepristone disabled, urine HCG became negative, with testing HCG5 times were negative. stop anti-drug day 25 of early pregnancy, women check: vulva (a), cervical erosion I., uterine size was normal and no tenderness, masses hit the right side of the uterus, about the size of duck eggs,[link widoczny dla zalogowanych], no abnormal the left side. B super-detection pelvic said: 6.5X4.6 × 3.7cm size of the uterus, the right accessories are not homogeneous mass 7X4X3cm, the left (a) continue to be given anti-inflammatory + microwave treatment. oral anti- Fu Yan capsules, 1 4, 1,[link widoczny dla zalogowanych], 3 times. and use Guizhifuling capsule, 1 3, 1, 3, Hong-inflammatory suppository a woman, by rectal administration, 1 night, all 3 weeks 1 course of treatment. with the right lower abdomen when the microwave for 1 week, B-test mass was significantly reduced, continue to microwave consolidation therapy after 1 week, women check: normal uterine size, activity,[link widoczny dla zalogowanych], and no tenderness, bilateral annex (a), pelvic ultrasound showed B: normal uterine size, the right (s), the left ovary 3.9 × 2.6cm size. followed up for 43 days after the menstrual cramps. Discussion: ectopic pregnancy is a common acute abdomen of Obstetrics and Gynecology First, in addition to medical history and symptoms of early diagnosis,[link widoczny dla zalogowanych], the application of early pregnancy test strip and non-invasive diagnostic ultrasound and in line with curettage, ectopic pregnancy diagnosed after the close observation, always ready to do surgery, timely administration of drugs and microwave treatment. This 2 patients who were IUD, vaginal smear examination revealed a number of quick, 2 patients had genital tract inflammation, antibiotic therapy chosen according to pathogenic bacteria,[link widoczny dla zalogowanych], the effect is good. ectopic pregnancy a small amount of hemorrhage without pelvic masses who use large doses of mifepristone alone, and neither mass nor those pelvic hemorrhage, the use of high dose methotrexate + m non-ketone combination. mifepristone is a new anti-fertility drugs , twist anti-progesterone receptor by only pregnant for reminders, etc. '. According to recent research results suggest that apoptosis related genes bc BU 2, bax expression and regulation in the course of mifepristone medical abortion, bc Bu 2/bax pathway might be abnormal apoptosis induced decidual one of the mechanisms leading to abortion. joint use of methotrexate as a supplementary treatment. ... with 20% povidone-iodine was used as the vulva, vaginal wash (with a history of iodine allergy should be disabled), can be directly kill the pathogens, play a good role of local treatment '. with pelvic and vaginal microwave therapy, high-frequency electromagnetic waves are a result of microwave, radiation effects on the body through the organization, its energy is absorbed into the body energy, and through the thermal effect in the therapeutic effect, in order to facilitate the absorption and inflammation subsided. currently in primary hospital diagnosis of ectopic pregnancy gradually improved, pelvic ultrasound showed B: rectum pouch with liquid dark area at those culdocentesis simple and reliable, no intra-abdominal hemorrhage are still based on human chorionic gonadotropin (hCG) in urine early pregnancy determination, B-test, with diagnostic curettage. short of ectopic pregnancy, so early diagnosis and treatment of drug + microwave, The method is simple, a significant effect, the method is easily accepted by patients of ~.
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