Ectopic pregnancy

被引：63

作者：

Della-Giustina, D ^{[1
]}

Denny, M

机构：

[1] Madigan Army Med Ctr, Dept Emergency Med, Tacoma, WA 98431 USA

[2] USA, Washington, DC 20310 USA

[3] Univ Washington, Sch Med, Seattle, WA 98195 USA

[4] Uniformed Serv Univ Hlth Sci, Bethesda, MD 20814 USA

来源：

EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2003年 / 21卷 / 03期

关键词：

HUMAN CHORIONIC-GONADOTROPIN; SINGLE-DOSE METHOTREXATE; EARLY INTRAUTERINE PREGNANCY; SERUM HCG LEVEL; TRANSVAGINAL SONOGRAPHY; TUBAL PREGNANCY; VAGINAL ULTRASONOGRAPHY; EMERGENCY PHYSICIANS; HETEROTOPIC PREGNANCY; SYSTEMIC METHOTREXATE;

D O I：

10.1016/S0733-8627(03)00036-1

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Ectopic pregnancy is a high-risk diagnosis that is increasing in frequency and is still commonly missed in the emergency department. The emergency physician needs a high index of suspicion and must understand that the history, physical examination, and a single quantitative level of beta-human chorionic gonadotropin cannot reliably rule out an ectopic pregnancy. This article reviews the clinical, laboratory, and ultrasonographic findings that help the emergency physician diagnose an ectopic pregnancy. An approach to the patient who presents to the emergency department with suspected ectopic pregnancy and the management of the patient diagnosed with an ectopic pregnancy are discussed.

引用

页码：565 / +

页数：21

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