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Titolo:
Vital signs fail to correlate with hemoperitoneum from ruptured ectopic pregnancy
Autore:
Hick, JL; Rodgerson, JD; Heegaard, WG; Sterner, S;
Indirizzi:
Univ Minnesota, Hennepin Cty Med Ctr, Minneapolis, MN 55415 USA Univ Minnesota Minneapolis MN USA 55415 ed Ctr, Minneapolis, MN 55415 USA Univ Calif Davis, Med Ctr, Davis, CA 95616 USA Univ Calif Davis Davis CA USA 95616 f Davis, Med Ctr, Davis, CA 95616 USA
Titolo Testata:
AMERICAN JOURNAL OF EMERGENCY MEDICINE
fascicolo: 6, volume: 19, anno: 2001,
pagine: 488 - 491
SICI:
0735-6757(200110)19:6<488:VSFTCW>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
RELATIVE BRADYCARDIA; HYPOVOLEMIC SHOCK; MANAGEMENT; HYPOTENSION;
Keywords:
ectopic pregnancy; hemorrhagic shock; hemoperitoneum;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Hick, JL Univ Minnesota, Hennepin Cty Med Ctr, Minneapolis, MN 55415 USA Univ Minnesota Minneapolis MN USA 55415 inneapolis, MN 55415 USA
Citazione:
J.L. Hick et al., "Vital signs fail to correlate with hemoperitoneum from ruptured ectopic pregnancy", AM J EMER M, 19(6), 2001, pp. 488-491

Abstract

The objective was to determine correlation between vital signs and hemoperitoneum in ruptured ectopic pregnancy. A retrospective chart review of ectopic pregnancies at our urban county hospital between 1990 and 1998 was conducted. Fifty-one cases met inclusion criteria. Mean minimum systolic blood pressure (SBP) 89mmHg (range 40-118), mean maximum heart rate (HR) 101 beats/min (range 62-156). Mean volume of hemoperitoneum 1,050 mL (range 400-2,000 mL). Correlation between vital signs and volume of hemoperitoneum was poor (R-2 = 0.04 for HR, R-2 = 0.1 for SBP). Association of tachycardia with hypotension was also poor (R-2 = 0.1). Extreme individual variations were observed. If surgical decisions were made on the basis of hypotension, 38% of patients could have received either inappropriate additional studies or surgical approach. Patients with normal vital signs had a 20% chance of having class IV blood loss at surgery. HR and blood pressure do not correlate well with volumes of hemoperitoneum from ruptured ectopic pregnancy. Copyright (C) 2001 by W.B. Saunders Company.

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Documento generato il 29/03/20 alle ore 17:48:25