Pregnancy工 nduced hypertension Definition Toxemia Gestosis Preeclampsia-Eclampsia EPH Syndrome

Female Reproductive Organs Uterine (fallopian) tube Fimbriae Ovary Uterus Rectum Pubic bone Cervix Urinary

Leiomyomas of uterus Commonest tumors 25% of women, 20% of female> 30y do have fibroid Also called asFibroids Estrogen responsive, regress after castration or menopause Often rapid increase during pregnancy or during oral

Contents Infertility Definition: causes Examinations and Diagnosis; Treatment Assisted Reproductive Technologies(ART); Intrauterine insemination(IU; In vitro fertilization and embryo transfer (VF-ET)

定义 由于羊水物质进入母体血循环引起 的一系列严重症状的综合症, 典型表现以突然发作的低血压、低 氧血症及凝血功能障碍为主,是产 科的一种少见而凶险的并发症,死 亡率达80%。 妊娠过敏样综合症

Three elements(3P) Powers Passages Passenger ----For a normal delivery to take place, each of these three factors must fulfil its own role, and interact efficiently with the other two factors

病例讨论1 孕妇顾XX,25岁,因见红9小时于2005-8-12,9时急诊入院。孕 妇平时月经规则,LMP2004-11-2,EDC205-8-9;孕期检查无特 殊 既往史:以往体健,生育史:0-0-0-0 入院体检:心肺正常,肝脾肋下未及,腹部膨隆,胎心140次/分 胎方位LOA,宫高34cm,腹围94cm,胎儿估计3600g。骨盆测 量24-27-19-8cm

病例一 女性患者,29岁,已婚育。因“停经2月余,下腹 痛2小时,伴头晕、心悸”于4-13急诊入院。mp2- 7,3-30、4-6查尿HCG阳性,但B超均未见孕囊 。入院前2小时,突觉下腹剧痛,伴肛门坠胀感。 急诊B超提示:子宫67×67×56mm,内膜11mm, 左卵巢36×35×27mm,子宫上方回声紊乱区 85×43×48mm,盆腹腔大量积液

一、病情介绍 包括:主诉,孕期情况,入院有关的阳性或阴性体征 二、该病例的诊断及诊断依据 三、鉴别诊断 四、治疗原则

病例1 患者,女性,28岁,已婚。因“反复月经不规则4年,咳 嗽伴痰中血丝1月于2001-1-29入院。97年因“停经4月 伴阴道流血”,于当地医院经B超检査,考虑为“过期流 ,行清宫术,未送病理检验。以后月经时常延迟10 20天,患者多次查尿HCG十,B超均未见宫内妊娠依 据