NeamŢu Simona Daniela, DiŢescu Damian, ForŢofoiu Maria, Stanca Liliana, Tigae Cristian, Niculescu Mihaela, NeamŢu Cristian Ovidiu, Manolea Maria Magdalena, Siminel Mirela Anişoara, Şurtea Leontina Eugenia, NeamŢu Adela Valeria, Novac Marius Bogdan, Vasile Liviu, Gluhovschi Adrian
Department of Neonatology, University of Medicine and Pharmacy of Craiova, Romania;
Rom J Morphol Embryol. 2017;58(1):167-174.
Tubal pathology, smoking, pelvic inflammatory disease, miscarriage, medical or surgical abortion, usage of intrauterine devices (IUDs) for women with salpingitis latent injuries, older than 40 years, are risk factors for ectopic pregnancy. The objective of this study concerns the correlation of the clinical and biological evidence for the early diagnosis of the ectopic pregnancy and, as soon as possible, for the estimation for eventual risk of complications that may appear. The transvaginal ultrasound test, minimal increases in serum beta-human chorionic gonadotropin (β-hCG) dynamics and blood counts are investigations of choice in achieving our objective. Overcoming β-hCG critical level (>1198 IU÷mL), the decrease of platelets and changes in platelet constants announce the imminent risk of ectopic pregnancy rupture and the need to take a quick decision on the course of treatment.
输卵管病变、吸烟、盆腔炎、流产、药物流产或手术流产、对有潜在输卵管炎损伤的女性使用宫内节育器（IUD）、年龄超过40岁等，都是异位妊娠的危险因素。本研究的目的是探讨临床和生物学证据与异位妊娠早期诊断的相关性，并尽快评估可能出现的并发症的最终风险。经阴道超声检查、血清β-人绒毛膜促性腺激素（β-hCG）动态轻微升高以及血常规检查是实现我们目标的首选检查。当β-hCG超过临界水平（>1198 IU÷mL）时，血小板减少以及血小板常数的变化预示着异位妊娠即将破裂的风险，需要迅速决定治疗方案。
