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宫外孕患者有不同程度的失血及血容量不足,因此可导致休克指数(shook index,SI)平均动脉压(mean arterial pressure,MAP)改变。若能认识并掌握其规律性,将有助于宫外孕患者的诊断与治疗。为此我们对149例宫外孕患者进行了回顾性分析,现报告如下。资料与方法我院自1963年7月至1988年9月共收治宫外孕335例,本文只对经手术证实,而发病时间、血压、心率、出血量有完整记录的非陈旧宫外孕患者进行分析,共149例。发病<8小时者68例(45.6%),≥8小时者49例(32.9%),>24小时者32例(21.5%),其中时间最短者20分钟,最长者6天5小时。出血量<1000ml 者79例,≥1000ml 者52例,≥2000ml 18例,其中出血量最少为100ml,最多为3000ml。发病时间在8小时以内者,出血量以1000ml 以上为主。随着发病时间的延长,出血量则以1000ml 以内为主(P<0.05)(见表1)。
Ectopic pregnancy patients have varying degrees of blood loss and hypovolemia, which can lead to changes in the mean arterial pressure (MAP) of the shook index (SI). If you can understand and grasp the regularity, will help patients with ectopic pregnancy diagnosis and treatment. To this end, we conducted a retrospective analysis of 149 cases of ectopic pregnancy, are as follows. Materials and Methods In our hospital from July 1963 to September 1988 a total of 335 cases of ectopic pregnancy were enrolled, this article only confirmed by surgery, and the onset time, blood pressure, heart rate, blood loss were recorded in a complete record of non-ectopic pregnancy patients were analyzed, a total of 149 cases. Sixty-eight patients (45.6%) had etiopathogenisis less than 8 hours, 49 (32.9%) had more than 8 hours and 32 patients (21.5%)> 24 hours. The shortest time was 20 minutes and the longest was 6 hours and 5 hours. Bleeding <1000ml in 79 cases, ≥ 1000ml in 52 cases, ≥ 2000ml in 18 cases, of which the least amount of bleeding was 100ml, up to 3000ml. Incidence of less than 8 hours, the amount of bleeding to more than 1000ml based. With the extension of the onset time, the amount of bleeding was less than 1000ml (P <0.05) (Table 1).