Kriebs Jan M, Fahey Jenifer O
Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland, USA.
J Midwifery Womens Health. 2006 Nov-Dec;51(6):431-9. doi: 10.1016/j.jmwh.2006.07.008.
The incidence of ectopic pregnancy in the United States has been reported to be as high as 20 per 1000 pregnancies, a more than 4-fold increase over the last 20 years. Clinical presentation can range from subtle, nonspecific abdominal complaints to acute onset pain or hemorrhagic bleeding. This article reviews the associated risk factors, pathophysiology, diagnosis, and management of ectopic pregnancy. Clinicians must maintain a high index of suspicion whenever women who might be pregnant have abdominal complaints.
据报道，美国宫外孕的发生率高达每1000例妊娠中有20例，在过去20年里增加了4倍多。临床表现范围广泛，从轻微、非特异性的腹部不适到急性腹痛或出血。本文综述了宫外孕的相关危险因素、病理生理学、诊断和治疗。只要可能怀孕的女性出现腹部不适，临床医生就必须保持高度的怀疑。
