O'Neil A G
Aust N Z J Obstet Gynaecol. 1980 Nov;20(4):219-21. doi: 10.1111/j.1479-828x.1980.tb00769.x.
Problems in the diagnosis of ectopic pregnancy have been assessed over a 4-month period at King Edward Memorial Hospital. Twenty-three of thirty women (77%) were sent home after their initial presentation with symptoms of their ectopic pregnancy. Thirteen were sent home from major teaching hospitals and the remaining 10 by their general practitioners. In 76 patients, laparoscopy was performed to exclude ectopic pregnancy; the diagnosis was confirmed in only 30. Plasma beta HCG values were elevated in all patients with an ectopic pregnancy within the Fallopian tube. The finding of a beta HCG value of less than 2.5 i.u./l could have allowed 36 of these patients to avoid diagnostic laparoscopy. Nine patients with intrauterine pregnancies (5 continuing and 4 aborting) might have avoided laparoscopy if ultrasonography had been used. Careful application of these tests, together with good history taking, will minimise the number of patients in whom an incorrect diagnosis is made.
在爱德华国王纪念医院，对为期4个月的异位妊娠诊断问题进行了评估。30名女性中有23名（77%）在首次出现异位妊娠症状后被送回家。其中13名是从大型教学医院被送回家的，其余10名是由她们的全科医生送回家的。对76名患者进行了腹腔镜检查以排除异位妊娠；仅30例确诊。所有输卵管内异位妊娠患者的血浆β-HCG值均升高。β-HCG值低于2.5国际单位/升这一结果，本可使其中36名患者避免诊断性腹腔镜检查。如果使用超声检查，9名宫内妊娠患者（5名继续妊娠，4名流产）本可避免腹腔镜检查。谨慎应用这些检查方法，再加上详细的病史采集，将最大限度减少误诊患者的数量。
