CAJ | 학술논문

目的：明确在急诊内科就诊的育龄女性进行常规尿早孕检测的临床重要性。方法选取两所医院急诊科2014年6月1日-2014年12月31日内科就诊育龄期女性患者行尿早孕检测资料，记录尿早孕检测结果并进行病例资料中年龄、月经史以及急诊就诊主诉等资料进行统计分析。结果共计入选育龄期女性患者1266例，尿早孕检测阳性患者150例，阳性率11.8%；150例尿早孕检测阳性患者就诊时主诉以消化系统症状人数为最多，达到40%；规律月经史并且尿早孕检测结果为阳性患者有33人，占尿早孕检测阳性总人数的22.0%。结论对于急诊内科就诊的育龄期女性不能简单的通过月经史判断排除其早孕可能，在急诊内科就诊的育龄女性均应该进行常规尿早孕检测。
목적：명학재급진내과취진적육령녀성진행상규뇨조잉검측적림상중요성。방법선취량소의원급진과2014년6월1일-2014년12월31일내과취진육령기녀성환자행뇨조잉검측자료，기록뇨조잉검측결과병진행병례자료중년령、월경사이급급진취진주소등자료진행통계분석。결과공계입선육령기녀성환자1266례，뇨조잉검측양성환자150례，양성솔11.8%；150례뇨조잉검측양성환자취진시주소이소화계통증상인수위최다，체도40%；규률월경사병차뇨조잉검측결과위양성환자유33인，점뇨조잉검측양성총인수적22.0%。결론대우급진내과취진적육령기녀성불능간단적통과월경사판단배제기조잉가능，재급진내과취진적육령녀성균응해진행상규뇨조잉검측。
ObjectivesTo clear and definite the clinical importance of routine urine pregnancy test in women of reproductive age admitted in emergency medicine department.Methods The urine pregnancy test materials of reproductive age women who admitted in emergency medicine department of the two hospitals from 1st Jane 2014 to 31st December 2014 were selected, then recorded the examination results and conducted a statistical analysis on the age, menses history and chief complaint in the medical records materials.Results 1266 patients were enrolled into the study and 150(11.8%) had a positive results of pregnancy test, the positive rate was 11.8%. The most common chief complaint admitted were symptoms in digestive system, which accounted for 40%. 33 cases had regular menses history and positive results, which accounted for 22.0% in all of the patients with positive results of urine pregnancy test.Conclusions We could not judge and exclude the pregnancy possibility of reproductive age women admitted in emergency medicine department only through menses history, and urine pregnancy test should be performed routinely in women of reproductive age in emergency department.