Ectopic pregnancy is difficult to diagnose 13 cases of acute Analysis.docVIP

 PAGE \* MERGEFORMAT 5 Ectopic pregnancy is difficult to diagnose 13 cases of acute Analysis [Keywords:] emergencies; ectopic pregnancy; Diagnosis According to the typical history and signs, the majority of patients in emergency department with acute ectopic pregnancy diagnosis can be made. However, due to various reasons, resulting in misdiagnosis and delayed diagnosis of the situation is not uncommon. November 2001 -2,007 years in November, our hospital emergency department, 13 cases of acute failure to make timely diagnosis of ectopic pregnancy is analytical report is as follows. A clinical data The group of 13 cases in eight cases of unmarried, married in 5 cases; Age: 16 ~ 37 years old. Which the history of four cases of menopause, nausea and vomiting in 8 cases, vaginal bleeding in 1, syncope in 10 cases, anemia appearance in 12 cases, anemia in 11 cases, pregnancy test was positive in 6 cases, B super-show ascites in 12 cases, all cases were acute abdominal pain and blood pressure drop. 13 cases in the two cases to know she was pregnant, of which 1 case of intrauterine pregnancy comes with the recent B-report card, and 1 case had a history of abortion, this from the outside hospital examination confirmed pregnancy; 2 patients had a history of chronic appendicitis. White blood cell count was significantly higher in 6 cases. The initial impression of Diagnosis: 7 cases of acute gastroenteritis, acute appendicitis, 3 cases of early pregnancy abdominal pain of unknown origin in 2 cases, abdominal pain of unknown origin in 1 case. B-After a comprehensive examination, abdominal puncture, urine pregnancy test, specialist consultations, 13 patients were diagnosed with acute ectopic pregnancy, income hospital surgery. 2 Results 13 cases were carried out emergency surgery. Surgery confirmed acute ectopic pregnancy, tubal pregnancy, rupture, acute intra-abdominal bleeding. Unilateral tubal repair plastic surgery in 6 cases, unilateral tubal resection in 7