【摘要】 目的探讨输卵管妊娠破裂死亡的特点。方法对1990—2005年10月间华西医科大学法医学院14例输卵管妊娠破裂死亡尸检病例进行分析。结果死亡病例以31￣34岁之间居多,职业以农民、个体户、待业多见。孕次和流产的关系分析表明,其妊娠破裂以生育过、怀孕2￣4次、流产2￣4次居多。危险因素以宫内安置节育环、不育症为主。输卵管妊娠死亡多发生在区级医院及个体卫生所,以菌痢治疗多见。尸解所见均为腹腔积血,病理观察见绒毛组织结构,且符合失血性休克的病理改变。结论孕龄期妇女应注意月经期,出现闭经及腹部不适症状应急时到医院做检查,医院同时应做HCG检查及B超检查以便做出正确诊断及治疗。更多还原

【Abstract】 Objective To explore the characteristics of death caused by ruptured tubal pregnancy. Methods The detail pathological data of 14 cases of ruptured tubal pregnancy death, collected from College of Forensic Medicine West China University of Medical Sciences from 1990 to Oct, 2005, were retrospectively analyzed. Results Majority of the dead were farmers, the self-employed and unemployed in terms of occupation; aged from 31 to 34 yrs. most had produced children, had pregnancy or abortion for two to four times. IUD (intrauterine devise use) and infertility treatment were the main risk factors. Frequently, ruptured tubal pregnancy death took place in hospitals at district level and private clinic, mistreated as bacteria diarrhea. Intraabodominal hemorrahage and chorionic form were seen in gross and microscope respectively. Conclusion Productive age women should pay close attention to menses period. For correct diagnosis and treatment, take the HCG level test as well as ultrasonic examination if there is amenorrhea and abdomen discomfort.更多还原