氨甲喋呤治疗输卵管妊娠30例临床分析
CHINESE JOURNAL OF COMPOSITE CLINICAL MEDICINE（2004）
Abstract
目的:探讨氨甲喋呤(MTX)连续静脉滴注治疗输卵管妊娠的效果和适应症.方法:30例输卵管妊娠采用MTX按0.4mg/kg计算,加入5%葡萄糖注射液500ml内静点,一日一次,连续5天,间隔一周后同法继续治疗5天,定期测定β-HCG直至正常.结果:26例治疗成功,4例行病灶切除术,3例二次妊娠.结论:严格选择适应症是治疗成功的关键,无急性内出血,异位妊娠包块直径≤5cm,血β-HCG＜160mol/ml,肝、肾和凝血功能正常是MTX治疗的必备条件.
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