作者gotosleep (沉淀心情认真生活)
看板NTUH-INTERN
标题Re: [妇产] 李建南医师case discussion
时间Mon Nov 17 20:55:56 2008
38 y/o female,
G3P1SA1, GA 27th +2 week,
vaginal spotting for two weeks and low abdominal pain for one day
underlying dx
Spinal cord injury (T10), paraplagia since 1989
Neurogenic bladder with detrusor sphincter dyssynergy
Urinary and defecation dysfunction
GDM: 2008/09/06 OGTT test abnormal
present illness
G3P1SA1, GA 27th +2 week, previous C/S due to pelvic deformity
Twin pregnancy
2008/09/19, vaginal spotting
2008/09/26, lower abdominal pain迳came to our emergency department迳bloody
show and uterine contraction
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学姐主要要我们报告安胎药物的使用,机转,副作用等等
这位病人一开始是用Yutopar和MgSO4
後来就都用Yutopar.
此外这位病人有些其他东西可以了解一下:
1. GDM
2. UTI (可能是因为urine retension造成的infection)
3. spinal cord injury, T10, paraplagia
对产妇怀孕生产是否有影响?
不过我们只有两位同学报告,
另一位同学主要准备安胎药物,
我是报history啦,
以上我提出的几点并不会有独立的discussion~
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