BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 二月 2019

小结

定义

病史和查体

关键诊断因素

  • 腹痛
  • 闭经
  • 阴道出血
  • 血液动力不稳、直立性低血压

危险因素

  • 既往异位妊娠
  • 既往输卵管绝育手术
  • 母亲子宫内己烯雌酚暴露
  • 宫内节育器 (IUD) 的使用

诊断性检查

首要检查

  • 尿液或血清妊娠试验
  • 高分辨率经阴道超声 (TVUS)
  • 经腹超声
全部具体信息

需要考虑的检查

  • 连续血清 hCG 检测
  • 吸宫术
全部具体信息

治疗流程

贡献者

William Shippen Jr. Professor of Obstetrics and Gynecology and Epidemiology

Vice Chair for Clinical Research

Director, Women's Health Clinic Research Center

The Perelman School of Medicine

University of Pennsylvania

Associate Chief, Penn Fertility Care

Philadelphia

PA

利益冲突披露
KTB declares that he has no competing interests.

Dr Kurt T. Barnhart would like to gratefully acknowledge Dr Ingrid Granne, a previous contributor to this topic.

利益冲突披露
IG declares that she has no competing interests.

Dr Ingrid Granne would like to gratefully acknowledge Dr Veronica Gomez-Lobo, Dr Sina Haeri, and Dr Mohammad Ezzati, previous contributors to this monograph. VGL, SH, and ME declare that they have no competing interests.

同行评议专家 查看所有

Chief

Reproductive Biology Medicine and Biology

NICHD

Bethesda

MD

利益冲突披露
AD declares that he has no competing interests.

Consultant in Obstetrics and Gynaecology

West Middlesex University Hospital

London

UK

利益冲突披露
JCG declares that she has no competing interests.

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