(1) There was no tubal pregnancy rupture, the gestational sac diameter was less than 5cm, the peritoneal free fluid was less than1000 ml, and β-HCG was less than1000 u.
(2) Unintentional, abnormal liver and kidney blood.
(3) Some special circumstances, such as cornual pregnancy and cervical pregnancy.
2, contraindications:
(1) obvious symptoms of internal bleeding.
(2)B-ultrasound indicates fetal heart beat.
(3)B-HCG is greater than1000 miu/l/l.
④ Severe liver and kidney damage (MTX can't make urine alkaline.
3. Main drugs: MTX and tetrahydrofolate; 5- fluorouracil.
4. Administration method: intravenous systemic administration, laparoscopic umbrella tip administration, intrauterine or pelvic injection.
Reminder: All these tasks should be completed under the guidance of hospital doctors.
Conservative treatment of ectopic pregnancy method 2: TCM therapy 1, prescription 1
Prescription: Radix Angelicae Sinensis 15g, Radix Paeoniae Rubra 10g, Flos Carthami 3g, Rhizoma Sparganii 15g, Rhizoma Curcumae 15g, Radix Arnebiae 30g, Podophyllum 20g, vine 30g, Radix Achyranthis Bidentatae 15g and Radix Glycyrrhizae 15g.
Usage: Angelica sinensis 1 dose daily, decocted in water to 200ml, taken twice, 7 days for 1 course of treatment, and taken continuously for 2-3 courses of treatment.
2. Prescription 2
Prescription: Fried Semen Vaccariae 10-30g, Sappan 6- 10g, Salvia Miltiorrhiza120g, Eupatorium adenophorum 9- 12g, Achyranthes bidentata 10-20g and Leonurus japonicus120g. Bupleurum 6- 12g, Rhizoma Cyperi 10- 15g, Linderae 9- 15g, Radix Curcumae 9- 15g, Radix Rehmanniae 10-30g, Caulis Spatholobi/kloc-30g.
Efficacy: The invention can improve pelvic internal environment, promote pelvic blood circulation and metabolic absorption of pathological products, prevent adhesion, strengthen physique, kill embryos, reduce HCG, eliminate lumps and restore tubal patency.
3. Prescription 3
Early ectopic pregnancy can also be treated with Chinese medicine.
Prescription: Radix Arnebiae, Herba Andrographis, Radix Salviae Miltiorrhizae, Pollen Typhae preparata, Oletum Trogopterori, Scolopendra, Trichosanthis Radix, etc. After the embryo is killed, it is mainly used for promoting blood circulation and removing blood stasis, such as peach kernel, safflower, salvia miltiorrhiza, radix paeoniae rubra, rhizoma sparganii, zedoary, water chestnut, leech, pangolin scales, etc. Decoct or preserving.
Usage:/kloc-0 once a day for 2-4 weeks/course of treatment, most of which can achieve satisfactory results.
Conservative treatment of ectopic pregnancy method 3: taking mifepristone
Principle: Mifepristone is used in the treatment of ectopic pregnancy, by competing for progesterone receptor, antagonizing progesterone activity, blocking progesterone effect, preventing embryo development and killing embryos.
Treatment: Mifepristone combined with methotrexate is commonly used to treat ectopic pregnancy conservatively.
Note: Patients should be informed before taking medicine, and all these tasks should be used under the supervision of hospital doctors.
Conservative treatment time of ectopic pregnancy There is generally no specific time for conservative treatment of ectopic pregnancy. It depends on the concentration and decrease of HCG value in blood. Some people need a short time, a month or so, while others need a long time. In short, it depends on personal circumstances. If the treatment time is long, don't worry too much. Keep calm and follow the doctor's instructions to cooperate with the treatment.
Health Tips Conservative treatment of ectopic pregnancy is generally carried out on the premise that the HCG value is low in the early stage of ectopic pregnancy and there is no abdominal pain or massive bleeding. If there are symptoms such as abdominal pain and bleeding during the treatment, it means that the treatment has failed and surgery should be performed immediately.