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KMID : 0358419730160060401
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Korean Journal of Obstetrics and Gynecology
1973 Volume.16 No. 6 p.401 ~ p.406
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The Clinical Diagnosis of Ectopic Pregnancy
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김배근/Kim BK
김재건/한순남/Kim JK/Han SN
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Abstract
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The diagnosis and its problems of 263 cases of ectopic pregnancy and 37 cases in whom the diagnosis was incorrect on admission during 5 years period have been reviewed. 1) The incidence of ectopic pregnancy was 6.8% of live births and recurrent condition in 12.5%. 2) The initial diagnosis was correct in only 86.9%. 3) Postpartum or postabortal endometritis, pelvic operations and other pelvic infections seemed to be the predisposing factors. 4) Culdocentesis is the single most important diagnostic procedure. 5) the failure of obtaining a positive culdocentesis couldn`t rule out the ectopic pregnancy. 6) Of all patients, there was only one death due to acute renal failure. 7) The diagnosis of ectopic pregnancy is depentent upon the clinician`s ability to perform a careful history taking, physical examinations, and to evaluate the results of laboratory findings, culdocentesis and pregnancy tests.
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