Ectopic pregnancy

作     者：Carr, RJ Evans, P 

作者机构：Georgetown Univ Providence Hosp Family Practice R Dept Family Med Washington DC USA 

出 版 物：《PRIMARY CARE》 (初级护理：门诊临床)

年 卷 期：2000年第27卷第1期

页      面：169-+页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1011[医学-护理学（可授医学、理学学位）] 10[医学] 

主　　题：堕胎药 非甾类/治疗应用 算法 咨询 甲氨蝶呤/治疗应用 妊娠 异位/诊断 妊娠 异位/流行病学 妊娠 异位/病因学 妊娠 异位/治疗 输卵管造口术 美国/流行病学 女(雌)性 人类 妊娠 

摘      要：Ectopic pregnancy occurs in approximately 2% of all pregnancies in the United States, and is the nation s leading cause of first trimester maternal death. Its incidence has increased sixfold in the past 25 years, despite significant improvements in techniques for early diagnosis and management. This article reviews the epidemiology, risk factors, and common clinical presentations of ectopic pregnancy. Both traditional and newly developed strategies for diagnosis and management are described. The primary care physician is in an excellent position to screen for and diagnose ectopic pregnancy, and to counsel patients regarding treatment options and future risks. With the increasing trend toward outpatient nonsurgical management of ectopics, it is expected that the roll of the primary care physician in managing patients with ectopic pregnancy will continue to increase.