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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 the clinical features of first diagnosing ectopic pregnancy in emergency department, shorten the diagnosis time and improve the first diagnosis rate. Methods A retrospective analysis of January 2010 to December 2012 in 108 cases of emergency department of internal medicine first diagnosis and surgery confirmed as ectopic pregnancy clinical data. Results There was no clear history of menopause in patients with ectopic pregnancy who were referred to the emergency department, which showed common symptoms of internal medicine such as abdominal pain, nausea, diarrhea, dizziness and fatigue. However, through careful examination of medical history, serious physical examinations and rational use of auxiliary examinations, Can diagnose ectopic pregnancy, diagnosis of 30 ~ 100 min, an average of 50 min. Conclusion As long as the emergency physician improves the vigilance of ectopic pregnancy, the ectopic pregnancy can be diagnosed as soon as possible and the patients are admitted to obstetrics and gynecology surgery in time.