دراسة سببية لنزوف أشهر الحمل الأولي عند المريضات المراجعات لمشفى الأسد الجامعي خلال عامي 2013-2014.
Abstract
أجريت دراسة عن أسباب نزوف أشهر الحمل الأولى شملت الدراسة 816 مريضة نزف من أصل 3104 حامل بنسبة 26.28%.كانت الأسباب: الإسقاط (96.07%) والحمل الهاجر (2.69%) والحمل الرحوي (1.22%). في مريضات الإسقاط ترافق الألم البطني مع النزف التناسلي لدى نسبة أكبر من المرضى (61.9%) وارتفعت نسبة الإسقاط التام لدى ترافقهما. بالنسبة لتصنيف الإسقاطات إلى باكرة ومتأخرة فإنه 613 مريضة حدث لديها الإسقاط الباكر (78.18%) و 171 حدث لديها الإسقاط المتأخر (21.81%). وكان تدني المستوى الاقتصادي والاجتماعي من أكثر عوامل الخطورة المشاهدة لدى مريضات الإسقاط وكذلك كان أكثر حدوثاً لدى الفئة العمرية 35-40 عام. كان الحمل الهاجر البوقي أكثر التوضعات مشاهدة و أكثر عامل خطورة مشاهدة وجود عمل جراحي حوضي سابق. حدث لدى جميع مريضات الحمل الهاجر انقطاع طمث مع نزف تناسلي مع التبدل الطفيف أو ثبات قيمة المنمية التناسلية البشرية بينما حدث لدى(86.36%) منهن الألم أسفل البطن مع تبدلات عنق الرحم والألم بتحريكه. احتاجت 16 مريضة (72.72%) من مريضات الحمل الهاجر للمعالجة الجراحية. A study was done about bleeding in first trimester of pregnancy including 816 patients from 3104 pregnant women(26.28 %) . The causes was abortion (96.07% ), ectopic pregnancy (2.69%) and hyditidiform mole (1.22%). In patients with abortion 486 patients suffered from pain with bleeding(61.09%) and when happeded together the rate of complete abortion elevated . (78.18%) had early abortion whereas(21.81%) had late abortion.The most common high risk factors in patients with abortion were poor and low level of life also the age 35-40 years old(47.44%). The tubal ectopic pregnancy was the most common and the privious pelvic operation is one of the most important high risk factors for ectopic pregnancy. All patients with ectopic pregnancy had amenorrhea with low or no changes in β-HCG levels and (86.36%) had abdominal pain with changes and pain in the cervixs. 16 patients (72.72%) needed surgical therapy.Downloads
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