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臨床分享
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子宮外孕 治療方式 手術治療 藥物治療 MTX Ectopic pregnancy (unlabeled use): I.M.:
Single-dose regimen: Methotrexate 50 mg/m2 on day 1; Measure serum hCG levels on days 4 and 7; if needed, repeat dose on day 7 (Barnhart, 2009) Two-dose regimen: Methotrexate 50 mg/m2 on day 1; Measure serum hCG levels on day 4 and administer a second dose of methotrexate 50 mg/m2; Measure serum hCG levels on day 7 and if needed, administer a third dose of 50 mg/m2 (Barnhart, 2009) Multidose regimen: Methotrexate 1 mg/kg on day 1; leucovorin calcium 0.1 mg/kg I.M. on day 2; measure serum hCG on day 2; methotrexate 1 mg/kg on day 3; leucovorin calcium 0.1 mg/kg on day 4; measure serum hCG on day 4; continue up to a total of 4 courses based on hCG concentrations (Barnhart, 2009)
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AMI次級預防 Aspirin:有GI side effect 可改用 Plavix,若有其他出血性的風險,由醫師進行評估
ACEI或ARB:血壓控制在正常範圍內,血壓偏低者慎用,SBP小於100停止使用 降血脂藥物:LDL小於100,TG小於150, B-blocker
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