Gaeta T J, Radeos M, Izquierdo I
Department of Emergency Medicine, Lincoln Hospital and Mental Health Center, Bronx, NY.
Am J Emerg Med. 1993 May;11(3):233-4. doi: 10.1016/0735-6757(93)90132-u.
Most emergency physicians will agree that bleeding and abdominal pain in women of child-bearing age is considered an ectopic pregnancy until proven otherwise. Ectopic pregnancy remains the leading cause of maternal mortality in the United States. A high index of suspicion is necessary for early intervention and reduction in morbidity and mortality. Risk factors for ectopic pregnancy include previous salpingo-oophoritis, ectopic pregnancy, tubal surgery or ligation, use of an intrauterine device, hormonal therapy, and, more recently, in vitro fertilization. In addition, this case emphasizes the possibility of ectopic pregnancy in women with a history of hysterectomy without bilateral oophorectomy.
大多数急诊医生会认同，育龄女性出现出血和腹痛症状，在排除其他病因之前，应考虑为异位妊娠。在美国，异位妊娠仍是孕产妇死亡的首要原因。高度的怀疑指数对于早期干预以及降低发病率和死亡率至关重要。异位妊娠的风险因素包括既往输卵管卵巢炎、异位妊娠、输卵管手术或结扎、宫内节育器的使用、激素治疗，以及最近的体外受精。此外，该病例强调了有子宫切除术病史但未行双侧卵巢切除术的女性发生异位妊娠的可能性。
