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早期继发性免疫性复发性流产怎么保胎呢?How can early secondary immune recurrent abortion protect the fetus?

  • 来源:xjat
  • 作者:xjat
  • 更新日期:2019-04-12 19:41
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陈凤林教授指出:早期继发性免疫性复发性流产(抗核抗体增高);以注射安太保胎针(疫苗)为主,还应监测孕酮、血HCG,四维彩超等。 Professor Chen Fenglin pointed out that: early secondary immune recurrent abortion (increased anti-nuclear antibodies);

陈凤林教授指出:早期继发性免疫性复发性流产(抗核抗体增高);以注射安太保胎针(疫苗)为主,还应监测孕酮、血HCG,四维彩超等。

Professor Chen Fenglin pointed out that: early secondary immune recurrent abortion (increased anti-nuclear antibodies); injection of antipyretic foetus needle (vaccine) is the main method, progesterone, blood HCG, four-dimensional color Doppler ultrasound 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。

Progesterone low must be how much to fill, then gradually reduce, to ensure that progesterone maintained 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;

Blood HCG is a pregnancy-specific hormone. The amount of HCG secreted by villi is the largest, and the titer of HCG increases rapidly every day, doubling to 8-10 weeks. It is generally recommended that blood HCG and progesterone be checked once every three days. If the growth is not satisfactory, patients should be given psychological comfort and monitored by four-dimensional color Doppler ultrasound. Anticardiolipin antibody, anti-B2 glycoprotein 1 antibody and D-dimer should also be checked to find micro-level. Thrombotic abortion; can be used with aspirin;

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。

Prolactin can be monitored by oral bromocriptine, anti-endometrial antibody, thyroid function test, chorionic chromosome and so on.

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。

If accompanied by abdominal discomfort and vaginal bleeding, security, phloroglucinol, hemostasis, VC and other drugs should be used to keep the vulva clean and correct bleeding symptoms as soon as possible.

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