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臨床分享

臨床分享. 1030612. 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/m 2 on day 1; Measure serum hCG levels on days 4 and 7; if needed, repeat dose on day 7 (Barnhart, 2009)

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臨床分享

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  1. 臨床分享 1030612

  2. 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)

  3. 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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