Blanchet J, Sparling D W, MacFarlane K T
Can Med Assoc J. 1967 Jan 14;96(2):71-7.
In a statistical analysis of 360 cases of ectopic pregnancy admitted to the Montreal General Hospital over a 20-year period ending December 1964, ectopic gestation occurred once in every 83 admissions to the gynecological service. This incidence has remained constant over the years. Only one out of four patients had had more than one child and 30% of the patients had absolute or relative infertility. Diagnosis was delayed or not made in 58 patients. There was evidence that neurogenic factors play a role in the etiology of ectopic gestation. Ten per cent of the patients had had a previous operation for the same condition. Symptomatology is variable and the possibility of ectopic pregnancy must never be overlooked in a woman of child-bearing age. Once the diagnosis is made the treatment is early operation. The morbidity rate in this series was 28% and there was one death.
在对截至1964年12月的20年间入住蒙特利尔综合医院的360例宫外孕病例进行的统计分析中，妇科服务每83例入院病例中就有1例发生宫外孕。多年来这一发病率一直保持不变。每4名患者中只有1人育有不止一个孩子，30%的患者有绝对或相对不孕史。58例患者的诊断被延迟或未做出。有证据表明神经源性因素在宫外孕的病因中起作用。10%的患者曾因同样病情接受过手术。症状表现多样，育龄女性宫外孕的可能性绝不能被忽视。一旦做出诊断，治疗方法就是尽早手术。该系列病例的发病率为28%，有1例死亡。
