Abdominal Pregnancy Diagnosis
Diagnosis:
According to a history of early pregnancy has severe abdominal pain accompanied by vaginal bleeding or history of chronic anemia has Maung. Combination of B-abdominal X-ray uterine lipiodol contrast, oxytocin challenge test can be diagnostic.
Diagnosis of primary peritoneal pregnancy have to comply with the following 3 points: ① ovarian fallopian tube were normal or near-term ectopic pregnancy without intrauterine evidence; ② uterus with the abdominal cavity without fistula formation; ③ only is intra-abdominal pregnancy.
Differential Diagnosis:
The main phase of ectopic pregnancy and other identification, the identification of the main points primarily on the basis of abdominal X-ray and uterine contraction lipiodol contrast Su-challenge test to distinguish between.
Laboratory examinations:
Peripheral blood: Anemia can be hemoglobin, red blood cells reduced, accompanied by infected leukocytes, neutrophils increased.
Other auxiliary examinations:
1.B uterine ultrasonography uniform increase to 2 ~ 3 months of pregnancy the size of uterine cavity were empty; pregnancy outside the uterus can see objects, since all stages of the fetus to term, survivors can be seen fetal heart rate, fetal death can be seen already deformation of the skull overlap less amniotic fluid, placenta attached to other organs or tissue, such as built-in B 1 overtime intrauterine bougie can assist diagnosis.
2. Abdominal X-ray at about 20 weeks pregnant or more intra-abdominal pregnancy abdominal X-ray helps the diagnosis, at the location of live births, fetal high transverse position, physical extension of anomaly; stillbirth fetal head can be seen deformed limbs twist, spinal deformities, the lateral film shows that the fetus often located under the abdominal wall, the site covered in the mother before the spine; the uterus and placenta of the soft tissue imaging is not clear if the conditions to do MRI or CT examination showed the fetus and placenta can be located in the uterus outside.
3. Uterine lipiodol angiography in highly suspected abdominal pregnancy can also make the uterus lipiodol contrast, if the fetus is located outside the uterine cavity can be diagnosed with abdominal pregnancy; have to pay attention to those who, when the uterine cavity has been increased, with possible lipiodol 10ml insufficient filling the uterus, have to spend to 20 ~ 30ml.
4. Oxytocin challenge test (OCT) of low-dose intravenous oxytocin drip-free uterine wall on contractile response of uterine contour should not see
Related inspections:
> Hemoglobin
Lipiodol contrast, oxytocin challenge test can be diagnostic.
Diagnosis of primary peritoneal pregnancy have to comply with the following 3 points: ① ovarian fallopian tube were normal or near-term ectopic pregnancy without intrauterine evidence; ② uterus with the abdominal cavity without fistula formation; ③ only is intra-abdominal pregnancy.
Differential Diagnosis:
The main phase of ectopic pregnancy and other identification, the identification of the main points primarily on the basis of abdominal X-ray and uterine contraction lipiodol contrast Su-challenge test to distinguish between