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目的 探讨腹腔血人绒毛膜促性腺激素 (humanchorionicgonadotropin ,HCG)测定对宫外孕的诊断价值。方法 通过对腹腔内出血的 32例可疑宫外孕患者的后穹窿 (或腹腔 )穿刺液做妊娠试验和 β -HCG定量 ,与尿妊娠试验及静脉血 β -HCG定量测定进行比较。结果 尿妊娠试验存在假阴性 ,而静脉血 β -HCG测定虽然结果准确 ,但耗时长 (需 2h) ,不适于急诊应用。只有腹腔血做妊娠试验结果与临床诊断完全一致 ,且其 β -HCG的含量明显高于静脉血中含量。结论 腹腔血HCG测定对宫外孕的诊断具有准确性和可靠性。利用腹腔血做妊娠试验对有腹腔内出血的妇科急腹症患者的及时诊断和治疗有显著帮助。
Objective To investigate the diagnostic value of intraperitoneal human chorionic gonadotropin (HCG) in ectopic pregnancy. Methods The pregnancy test and β -HCG quantification were performed on posterior fornix (or peritoneal) puncture fluid in 32 patients with intrauterine hemorrhage who were suspected to have ectopic pregnancy. The results were compared with urine pregnancy test and β -HCG quantitative measurement. Results There was false negative urine pregnancy test, while the determination of venous blood β-HCG although accurate results, but time-consuming (2h), not suitable for emergency applications. Only the results of pregnancy tests with celiac blood exactly the same with clinical diagnosis, and its β -HCG content was significantly higher than the content of venous blood. Conclusion Intraperitoneal HCG measurement has the accuracy and reliability in the diagnosis of ectopic pregnancy. The use of celiac blood as a pregnancy test for patients with intra-abdominal hemorrhage in patients with acute abdomen diagnosis and treatment of a significant help.