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一种危及生命的情况——尿妊娠试验阴性的异位妊娠破裂:病例报告。

A life-threatening condition - ruptured ectopic pregnancy with negative urine pregnancy test: A case report.

作者信息

Mohamad Fadzilah, Yahya Ahmad Shuib, Abdul Rashid Aneesa, Devaraj Navin Kumar, Abdul Manap Abdul Hadi

机构信息

MB BCH BAO (Ire), MMed Family Medicine (UPM), Department of Family Medicine, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia Selangor, Malaysia. Email:

MBBCh (Ain Shams University), MMed Obstetrics and Gynaecology (USM), Department of Obstetrics and Gynaecology, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia.

出版信息

Malays Fam Physician. 2021 Feb 1;16(1):121-123. doi: 10.51866/cr1117. eCollection 2021 Mar 25.

Abstract

Ectopic pregnancy is an extra-uterine pregnancy and is a potentially life-threatening condition that can lead to death from intra-peritoneal hemorrhage. This case reports a rare occurrence of ruptured tubal pregnancy in which the patient presented early with abdominal pain and a negative urine pregnancy test but subsequently presented again with evidence of intra-peritoneal hemorrhage. A negative urine pregnancy test is often used to rule out pregnancy, but it is not 100% sensitive. Complete assessment is critical in this important diagnosis in order to plan for the appropriate emergency management.

摘要

异位妊娠是指子宫外妊娠,是一种可能危及生命的情况,可导致腹腔内出血死亡。本病例报告了一例罕见的输卵管妊娠破裂,患者最初表现为腹痛,尿妊娠试验阴性,但随后再次出现腹腔内出血的迹象。尿妊娠试验阴性常被用于排除妊娠,但它并非100%敏感。在这一重要诊断中进行全面评估对于规划适当的紧急处理至关重要。

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