Gilstrap L C, Harris R E
South Med J. 1976 May;69(5):604-6.
Ruptured ectopic pregnancy constitutes a major gynecologic emergency which may result in death. From 1965 through 1973, 122 patients with ectopic pregnancy were treated at Wilford Hall USAF Hospital. Diagnostic procedures, causative factors, and patient management are reviewed and discussed. The most common symptoms were pain (95%), amenorrhea (79%), and abnormal bleeding (76%). An adnexal mass was found in only 40% of the patients. The treatment of choice was salpingectomy, and there were no deaths in this group of patients.
破裂的异位妊娠是一种可能导致死亡的重大妇科急症。1965年至1973年期间,美国空军威尔福德·霍尔医院收治了122例异位妊娠患者。本文对诊断程序、致病因素及患者管理进行了回顾和讨论。最常见的症状是疼痛(95%)、闭经(79%)和异常出血(76%)。仅40%的患者发现附件包块。治疗的首选方法是输卵管切除术,该组患者无死亡病例。