Bryan Sheila
Royal Women's Hospital, Melbourne, Victoria, Australia.
Emerg Med (Fremantle). 2003 Jun;15(3):219-22. doi: 10.1046/j.1442-2026.2003.00462.x.
Bleeding in early pregnancy occurs in approximately 20% of clinically diagnosed pregnancies. History and physical examination are unable to reliably determine the anatomical location of the pregnancy (ectopic or intrauterine) or whether or not the fetus is alive. Ultrasound is the best tool for assessing these clinical questions and it is increasingly being used in the ED. This article looks at some of the common ultrasound findings and discusses the management options for failed and ectopic pregnancies.
在临床诊断的妊娠中,约20%会在妊娠早期出现出血情况。病史和体格检查无法可靠地确定妊娠的解剖位置(异位妊娠或宫内妊娠),也无法确定胎儿是否存活。超声是评估这些临床问题的最佳工具,并且在急诊科的应用越来越广泛。本文探讨了一些常见的超声检查结果,并讨论了流产及异位妊娠的处理方法。