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早期继发性免疫性复发性流产保胎原则Principle of early secondary immune recurrent abortion

  早期继发性免疫性复发性流产(抗核抗体增高);以注射免疫性保胎针(疫苗)为主,还应监测孕酮、血HCG,四维彩超等。

早期继发性免疫性复发性流产保胎原则Principle of early secondary immune recurrent abortion

  Early secondary immune recurrent abortion(increased anti-nuclear antibodies); In order to inject immuno-vaccine(vaccine) mainly, progesterone, blood HCG, four-dimensional color Super and so on should also be monitored.

  孕酮低一定要缺多少补多少,后渐减,保证孕酮维持在正常最高值至孕8-10周左右。

  The low progesterone must be less than how many supplements, and then gradually decrease, ensuring that progesterone remains at the normal maximum value to about 8-10 weeks of pregnancy.

  血HCG是妊娠特异性激素,由绒毛所分泌的HCG量最大,每天的滴度快速上升,呈翻倍增长趋势至8-10周,一般建议3天查一次血HCG及孕酮,如果增长不理想,应做好患者的心理安慰的同时配合监测四维彩超,同时再查抗心磷脂抗体,抗B2糖蛋白1抗体、D-二聚体等以发现微血栓性的流产;可配合使用阿斯匹林;监测泌乳素,高者可口服溴隐停;还有可监测抗子宫内膜抗体、甲状腺功能检测、绒毛染色体等。如伴有腹部不适及阴道出血,应使用安保、间苯三酚、止血敏、VC等药物治疗,保持外阴清洁,尽快纠正出血症状。

  Blood HCG is a specific hormone in pregnancy. The amount of HCG secreted by Villi is the largest. The titration increases rapidly every day, doubling the trend to 8-10 weeks. It is generally recommended to check blood HCG and progesterone once every 3 days. If the growth is not satisfactory, The patient's psychological comfort should be well combined with the monitoring of the four-dimensional color super, and at the same time the anti-heart phospholipid antibody, anti-B2 glycoprotein 1 antibody, D-dimer, etc. should be found to detect microthrombotic abortion; Can be combined with aspirin; Monitoring prolactin, high Coca-Cola taking bromine occult stop; There are also anti-endometrial antibodies that can be monitored, thyroid function detection, villous chromosomes, and so on. If accompanied by abdominal discomfort and vaginal bleeding, should use security, mesophenol, hemoacerbity, VC and other drug treatment, keep the vulva clean, as soon as possible to correct bleeding symptoms.

来源:sdfck|作者:sdfck |更新日期:2019-08-23 14:42
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