A case analysis of conservative treatment of a cesarean scar pregnancy combined with uterine apoplexy
10.3969/j.issn.1006-0111.2016.06.017
- VernacularTitle:1例剖宫产瘢痕妊娠合并子宫卒中患者保守治疗用药分析
- Author:
Yue WU
1
;
Aihua WANG
;
Chaohong HAN
;
Xin FENG
Author Information
1. 四川省医学科学院·四川省人民医院药学部
- Keywords:
CSP;
uterine apoplexy;
conservative treatment;
M TX;
mifepristone
- From:
Journal of Pharmaceutical Practice
2016;34(6):552-555
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the conservative treatment for cesarean scar pregnancy (CSP) with proper medications . Methods One case of CSP with uterine apoplexy was reported .Medication regimens were illustrated as the conservative treat-ments for the patient with β-HCG>20 000 IU/L ,in whom surgery was contraindicated .Results After two times of uterine artery embolization and chemotherapy (MTX50 mg) ,followed by three times of MTX50 mg cervical injection combined with oral mifepristone ,serumβ-HCG dropped to normal level and no adverse reactions were observed .Conclusion Clinical pharma-cists could strengthen the safety and effectiveness of rational drug use by participating in the integrated pharmacy care .
