急诊内科首诊确诊异位妊娠临床分析  

Analysis of ectopic pregnancy first-diagnosed in emergency internal medicine

作　　者：李君[1,2] 陈士超[1,2] 杨静杰[1,2] 

机构地区：[1]聊城市人民医院 [2]泰山医学院附属医院急诊科,252000

出　　处：《中国实用医药》2014年第9期21-22,共2页China Practical Medicine

摘　　要：目的：通过分析急诊内科首诊异位妊娠的临床特点,缩短诊断时间,提高首诊确诊率。方法回顾性分析2010年1月~2012年12月108例急诊内科首诊并经过手术证实为异位妊娠的临床资料。结果异位妊娠患者到急诊内科就诊者均无明确停经史,表现腹痛、恶心、腹泻、头晕、乏力等内科常见症状,但通过详细询问病史、认真的体格检查、合理利用辅助检查,首诊就能确诊异位妊娠,诊断时间30~100 min,平均为50 min。结论急诊内科医生只要提高异位妊娠警惕性,就能及早确诊异位妊娠,及时让患者入住妇产科手术治疗。Objective To analyze clinical characteristics of the first diagnosis of ectopic pregnancy in emergency internal medicine, shorten the time of diagnosis and improve the first diagnosed rate. Methods 108 cases of ectopic pregnancy diagnosed in emergency internal medicine on January 2010 to December 2012 were retrospective analyzed. Results The patients of ectopic pregnancy in emergency internal medicine often present with abdominal pain, nausea, diarrhea, dizziness and weakness and so on, without a clear history of menopause, But after a thorough medical history, careful physical examination, suitable auxiliary examinations, the patients can be diagnosed as ectopic pregnancy, it usually takes about 30-100 minutes, averages 50 minutes. Conclusion As long as emergency physicians enhance the vigilance of ectopic pregnancy, patients can be diagnosed early, and timely treated.

关 键 词：异位妊娠(宫外孕) 急诊内科 首诊 临床特点 ECTOPIC pregnancy(EP) 

分 类 号：R714.22[医药卫生—妇产科学]