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請使用永久網址來引用或連結此文件:
http://ir.cmu.edu.tw/ir/handle/310903500/30251
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| 題名: | The clinical diagnosis of the narcoleptic syndrome |
| 作者: | Parkes, JD;Chen, SY;Clift, SJ;Dahlitz, MJ;Dunn, G |
| 貢獻者: | 附設醫院精神醫學部;Univ London Kings Coll, Sch Med & Dent, Dept Clin Neurosci, London, England;China Med Coll Hosp, Dept Psychiat, Taichung, Taiwan;Inst Psychiat, Dept Biostat & Comp, London, England |
| 日期: | 1998 |
| 上傳時間: | 2010-09-24 14:51:56 (UTC+8) |
| 出版者: | BLACKWELL SCIENCE LTD |
| 摘要: | BACKGROUND: Intramural pregnancy is the rarest form of ectopic pregnancy. The diagnosis depends upon the sonographic finding of intramural gestational sac-like growth and persistent high beta-human chorionic gonadotropin (beta-hCG) levels after dilatation and curettage. No authors mentioned negative beta-hCG result in such situation. Rarely has the literature contained preoperative sonograms and photographs of postoperative gestational tissue. CASE: A 31-year-old woman presented with vaginal spotting for five months. Six months earlier she underwent dilatation and curettage for blighted ovum at 8 weeks' gestation. Since then, incidental vaginal spotting was noted. Sonography demonstrated all intramural cyst with fetal pole-like growth. Serum beta-hCG, diagnostic dilatation and curettage, and hysteroscopic examination were negative. Laparotomy for excision of the cyst confirmed an intramural pregnancy. CONCLUSION: Because of the long period after fetal wastage, negative serum beta-hCG was noted in this case. Negative serum beta-hCG was unreliable in the exclusion of intramural pregnancy. With the sonographic appearance of intramural gestational sac-like growth, in spite of a negative serum beta-hCG the clinician should be alert to the possibility of intramural pregnancy. |
| 關聯: | JOURNAL OF SLEEP RESEARCH 7(1):41-52 |
| 顯示於類別: | [台中附設醫院] 期刊論文
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