Neth Matthew R, Thompson Maxwell A, Gibson Courtney Blayke, Gullett John P, Pigott David C
University of Alabama at Birmingham, Department of Emergency Medicine, Birmingham, Alabama.
Clin Pract Cases Emerg Med. 2019 Jan 22;3(1):51-54. doi: 10.5811/cpcem.2019.1.41345. eCollection 2019 Feb.
Ruptured ectopic pregnancy is the leading cause of first trimester maternal mortality. The diagnosis of ectopic pregnancy should always be suspected in patients with abdominal pain, vaginal bleeding or syncope. While the use of an intrauterine device (IUD) markedly reduces the incidence of intrauterine pregnancy, it does not confer equal protection from the risk of ectopic pregnancy. In this report we discuss the case of a female patient who presented with a ruptured ectopic pregnancy and hemoperitoneum despite a correctly positioned IUD.
输卵管妊娠破裂是孕早期孕产妇死亡的主要原因。对于出现腹痛、阴道出血或晕厥的患者，应始终怀疑为异位妊娠。虽然使用宫内节育器（IUD）可显著降低宫内妊娠的发生率，但它并不能同样有效地预防异位妊娠的风险。在本报告中，我们讨论了一名女性患者的病例，该患者尽管宫内节育器位置正确，但仍发生了输卵管妊娠破裂并伴有腹腔积血。
