BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 阴道出血，伴有或不伴有血块
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其他诊断因素

  • 耻骨弓上疼痛
  • 腰痛
  • 近期性交后出血
  • 子宫结构异常
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危险因素

  • 年龄较大
  • 子宫畸形
  • 细菌性阴道病
  • 血栓形成倾向
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诊断性检查

首要检查

  • 尿妊娠试验
  • 全血细胞计数 (FBC)
  • RH 血型
  • 血清β-hCG 滴度
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需要考虑的检查

  • 狼疮抗凝物/抗心磷脂抗体
  • 盆腔超声检查
  • 双亲核型
  • 阴道拭子
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治疗流程

推断

先兆流产

急性

难免/不完全/稽留流产

完全流产

疾病持续状态

复发性流产

贡献者

作者 查看所有

Consultant Obstetrician & Gynaecologist

The Women’s Centre

Gloucestershire Royal Hospital

Gloucester

UK

利益冲突披露
IM declares that she has no competing interests.

Locum Consultant in Obstetrics and Gynaecology

Gloucestershire Royal Hospital

Gloucester

UK

利益冲突披露
JD declares that she has no competing interests.

Dr Ida Muslim and Dr Jothi Doraiswamy would like to gratefully acknowledge Dr Isaac Babarinsa and Professor Tim Draycott, previous contributors to this monograph. IB and TD declare that they have no competing interests.

同行评议专家 查看所有

Consultant Obstetrician and Gynaecologist

St Michael's Maternity Wing

Bristol Royal Infirmary

Bristol

UK

利益冲突披露
JT is the primary author of one RCT cited in this monograph. This trial was funded by an NHS Research and Development Grant and a donation from Exelgyn, the manufacturer of misoprostol. JT has accepted honoraria for speaking to groups of midwives and doctors about miscarriage management.

Consultant in Family Medicine

Parker D Sanders and Isabella Sanders Professor of Primary Care

Rochester

MN

利益冲突披露
JB declares that he has no competing interests.

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