Press Gregory M, Martinez Anthony
Department of Emergency Medicine, University of Texas at Houston Medical School, Houston, Texas 77030, USA.
J Emerg Med. 2007 Jul;33(1):25-7. doi: 10.1016/j.jemermed.2007.01.002. Epub 2007 May 30.
We present a case of heterotopic pregnancy rapidly diagnosed by an emergency physician. To the best of our knowledge, this is the first report of an emergency physician using bedside ultrasound to diagnose an ectopic pregnancy present simultaneously with an intrauterine pregnancy. Other unique features of this case include the diagnosis being made on initial evaluation and the patient's lack of risk factors for heterotopic pregnancy. A review of the cases of heterotopic pregnancy reported in the emergency medicine literature, the rising prevalence of the disease, and factors that may facilitate in making the diagnosis are discussed as well.
我们报告了一例由急诊医生迅速诊断出的异位妊娠病例。据我们所知，这是急诊医生使用床旁超声诊断同时存在宫内妊娠和异位妊娠的首例报告。该病例的其他独特之处包括在初次评估时即做出诊断，以及患者缺乏异位妊娠的危险因素。本文还讨论了急诊医学文献中报道的异位妊娠病例、该疾病患病率的上升以及可能有助于诊断的因素。
