Ectopic Pregnancy

被引:311
作者
Barnhart, Kurt T. [1 ]
机构
[1] Univ Penn, Dept Obstet & Gynecol, Med Ctr, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
HUMAN CHORIONIC-GONADOTROPIN; CROWN-RUMP LENGTH; TRANSVAGINAL SONOGRAPHY; INTRAUTERINE PREGNANCY; SYSTEMIC METHOTREXATE; EXPECTANT MANAGEMENT; MEDICAL-MANAGEMENT; CARDIAC ACTIVITY; RISK-FACTORS; SERUM HCG;
D O I
10.1056/NEJMcp0810384
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A healthy 29-year-old woman who has been trying to conceive presents with vaginal spotting for the past 5 days and intermittent crampy abdominal pain in her left lower quadrant for the past 3 days. Although she normally has regular menstrual cycles, her last menstrual period was 6 weeks and 2 days before presentation. She has had a spontaneous vaginal delivery and an anembryonic gestation treated by dilation and curettage. How should this patient be evaluated and treated?
引用
收藏
页码:379 / 387
页数:9
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