Spandorfer Steven D, Barnhart Kurt T
Center for Reproductive Medicine and Infertility, Department of Obstetrics and Gynecology, Weill Medical College, Cornell University, New York, New York, USA.
J Reprod Med. 2003 Mar;48(3):133-6.
To evaluate the differences in the presentations of women with and without a prior history of an ectopic pregnancy and a suspicion of a current ectopic.
Evaluation of a cohort of patients presenting to an emergency department to exclude an ectopic pregnancy. Over a 58-month study period (January 1992-October 1996), 1,510 consecutive, pregnant women presenting to an emergency department with pelvic pain and/or vaginal bleeding to exclude an ectopic pregnancy were evaluated. A comparison was made of the presenting signs and symptoms between patients with and without a previous history of an ectopic pregnancy.
Of patients presenting to exclude an ectopic pregnancy, 105 had a history of an ectopic pregnancy, and 1,355 had no such history. Fifty patients were excluded because they were lost to follow-up or transferred their care to another hospital. Those with a history of an ectopic pregnancy were more likely to be diagnosed again with an ectopic pregnancy, were older and were more likely to have a history of pelvic inflammatory disease and abdominal surgery. Patients with a history of an ectopic pregnancy presented earlier with a lower hCG level.
Women with a previous history of an ectopic present in a clinically different manner than do those without such a history.
评估有和没有异位妊娠史且怀疑当前为异位妊娠的女性在临床表现上的差异。
对急诊科就诊以排除异位妊娠的一组患者进行评估。在58个月的研究期间（1992年1月至1996年10月），对1510名连续因盆腔疼痛和/或阴道出血到急诊科就诊以排除异位妊娠的孕妇进行了评估。比较了有和没有异位妊娠史的患者的临床表现和症状。
在就诊以排除异位妊娠的患者中，105人有异位妊娠史，1355人没有此类病史。50名患者因失访或转至其他医院治疗而被排除。有异位妊娠史的患者再次被诊断为异位妊娠的可能性更大，年龄更大，更有可能有盆腔炎和腹部手术史。有异位妊娠史的患者就诊时hCG水平较低。
有异位妊娠史的女性与没有此类病史的女性临床表现不同。
