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)

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