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早期妊娠出血患者评估与管理中的当前挑战

Current challenges in the assessment and management of patients with bleeding in early pregnancy.

作者信息

Bryan Sheila

机构信息

Royal Women's Hospital, Melbourne, Victoria, Australia.

出版信息

Emerg Med (Fremantle). 2003 Jun;15(3):219-22. doi: 10.1046/j.1442-2026.2003.00462.x.

DOI:10.1046/j.1442-2026.2003.00462.x
PMID:12786641
Abstract

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.

摘要

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。

相似文献

1
Current challenges in the assessment and management of patients with bleeding in early pregnancy.早期妊娠出血患者评估与管理中的当前挑战
Emerg Med (Fremantle). 2003 Jun;15(3):219-22. doi: 10.1046/j.1442-2026.2003.00462.x.
2
Early pregnancy bleeding.早孕出血
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Current issues in management of miscarriage and early pregnancy bleeding.流产与孕早期出血管理中的当前问题
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First trimester bleeding.孕早期出血。
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An early pregnancy assessment clinic combined with emergency physician ultrasound reduces admissions.一个结合了急诊医生超声检查的早期妊娠评估诊所可减少住院人数。
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Pelvic ultrasound performed by emergency physicians for the detection of ectopic pregnancy in complicated first-trimester pregnancies.由急诊医生进行盆腔超声检查,以检测孕早期复杂妊娠中的异位妊娠。
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Eccentrically located intrauterine pregnancy misdiagnosed as interstitial ectopic pregnancy.宫内妊娠位于子宫角误诊为间质部异位妊娠。
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ISUOG Consensus Statement on rationalization of early-pregnancy care and provision of ultrasonography in context of SARS-CoV-2.国际妇产科超声学会(ISUOG)关于在2019冠状病毒病(SARS-CoV-2)背景下优化早期妊娠护理及提供超声检查的共识声明
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Clinical policy: Critical issues in the initial evaluation and management of patients presenting to the emergency department in early pregnancy.临床政策:急诊初诊早期妊娠患者的关键问题评估与管理。
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引用本文的文献

1
Medical educators' perspectives of teaching physical examinations using ultrasonography at the undergraduate level.医学教育工作者对本科阶段使用超声进行体格检查教学的看法。
Can Med Educ J. 2013 Mar 31;4(1):e59-68. eCollection 2013.
2
Non-invasive tools for the diagnosis of potentially life-threatening gynaecological emergencies: a systematic review.用于诊断潜在危及生命的妇科急症的非侵入性工具:一项系统综述
PLoS One. 2015 Feb 27;10(2):e0114189. doi: 10.1371/journal.pone.0114189. eCollection 2015.
3
Previous early antenatal service utilization improves timely booking: cross-sectional study at university of Gondar hospital, northwest Ethiopia.
先前早期产前服务的利用情况可改善及时预约:埃塞俄比亚西北部贡德尔大学医院的横断面研究。
J Pregnancy. 2014;2014:132494. doi: 10.1155/2014/132494. Epub 2014 Jul 1.