title: [Ectopic pregnancy--an analysis of the cases treated at the N. I. Pirogov Research Institute of Emergency Medicine].
abstract: Rate of ectopic pregnancy, a life-threatening pathology with great psycho-social significance, had reached from 4.5 per miles in 1970 up to 16.8 per miles in 1987. During a nine-year period (1980-1988) 466 women with diagnosis ectopic pregnancy were hospitalized in the Department of Urgent Gynaecology-Emergent Medical Institute "Pirogov". Married were 285 (61.16%) of them, not married--116 (24.89%) and divorced--65 (13.95%). Dull, not localized pain was observed in 300 (64.38%) of them. In 160 (34.33%) only colics were observed, dated from 15 days to 1 month before hospitalization. The classic triad of amenorrhea, colicky pains in the lower abdomen and bloody liquids, running out of genitalia. When hospitalized, 194 women (41.63%) were in very severe general condition, from these 92 in severe hemorrhagic shock. The blood loss, evaluated in the beginning of the operation was found to be: 0 ml--8 patients (1.72%); up to 300 ml--143 (30.69%); up to 600 ml--121 women (25.97%); up to 1000 ml--102 (21.88%); up to 1500 ml--36 (7.73%); up to 2000 ml--36 patients (7.73%); up to 3000 ml--17 (3.65%); more than 3000 ml--3 (0.64%). A conclusion was made that it is necessary to improve the prophylaxis, the diagnostic methods and the treatment of ectopic pregnancy, so as to save reproductive abilities of the women.
authors.forename: E
authors.initials: E
authors.lastname: Zheliazkova
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002031:Bulgaria / Q000453:epidemiology; D004630:Emergencies; D004635:Emergency Medicine; D005260:Female; D006782:Hospitals, Special / Q000706:statistics & numerical data*; D006801:Humans; D017533:Marital Status; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy
vernacular_title: Ektopichna bremennost--analiz na sluchaite, lekuvani v NISM "N. I. Pirogov".