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KMID : 0358419760190070463
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 7 p.463 ~ p.472
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A clincal evaluation of ectopic pregnancy
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김흥균/Kim HK
양영호/송찬호/곽현모/Yang YH/Song CH/Kwak HM
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Abstract
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1. Hospital incidence of ectopic pregnancy was 1 in 22 deliveries. 2. Ectopic gestation was found to occur most frequently in the age group, ranging from 25 to 34 years (60.2%) 3. Nulligravida was 5.3% nullipara 25.7% and multipara 56.4% of total 4. Average length of sterility was 3 years 11 months and 11.6% (72 cases) had 9years or more sterility. 5. Histories of previous artificial and spontaneous abortion were noted in 54.6% and 39.8% respectively. 6. 186 cases (22%) had previous abdominal surgeries. Among them 108 cases were repeated ectopic pregnancies and 48 cases were appendectomies. Pelvic tuberculosis was noted in 2.5% (21cases) vaginitis cervicitis and pelvic inflammatory disesase were detected in 3.8% (33cases) 1.1% (9cases) and 4% (34 cases) respectively. 7. On symtomatology, lower abdominal pain was encountered in 91.5% (786cases) vaginal bleeding or spotting in 73.1% (628 cases) bearing down sensation in 16.0% (138 cases) nausea and vomitting in 14.4% (124 cases) fainting in 12.9% (111 cases) and shoulder pain in 14 cases 8. Adnexal mass, usually tender was palpated in 53.6% (450 cases) and lower abdominal tenderness was noted in 89.6% (752 cases), 58.2% (488 cases) complained of pain on mortion of cervix and 15.5% (130 cases ) had abdominal rigidity. 9. The average interval between L.N.M.P and onset of symptoms was 6.8 weeks. 10. W.B.C count was considerably increased in ruptured cases
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