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异位妊娠流产或破裂急性发作时最突出症状是腹痛,因此易与下列引起急腹痛的疾病混淆.1卵巢滤泡或黄体破裂同样具有内出血症状及体征(急性腹痛、贫血、休克发生则根据出血的速度量的多少而不同),一般无闭经、早孕反应及阴道流血史.妇科检查后穹隆饱满,宫颈举痛,穿刺抽出不凝血,尿妊娠试验阴性.鉴别要点在于追询月经情况,详细询问发病时间与月经周期的关系.卵巢滤泡破裂发生于排卵期,多数在两次月经的中间期.黄体破裂则在月经中期以后,多发生在经前1周.
The most prominent symptom of the acute episode of abortion or rupture of the ectopic pregnancy is abdominal pain and is therefore easily confused with the following diseases that cause acute abdominal pain.1 Ovarian follicular or luteal rupture also has internal bleeding symptoms and signs (acute abdominal pain, anemia, The amount of the speed of the number of different), the general absence of amenorrhea, early pregnancy reaction and vaginal bleeding history gynecological examination full dome, cervical pain, puncture out without coagulation, urine pregnancy test negative. Onset time and menstrual cycle.Ovarian follicular rupture occurred in the ovulation period, most of the two menstruation in the middle period.Luanium rupture in the mid-menstrual later, occurred in the premenstrual week.