Gynäkologische Notfälle

Abstract

Corresponding to other clinical disciplines emergencies in gynecology are characterized by an unpredictable onset and acute course. The main reasons for emergency inpatient treatments in gynecological patients are vaginal bleeding (e. g. miscarriage in early pregnancy, bleeding disorders, gynecologic cancer, trauma) abdominal pain with or without signs of an acute abdomen (e. g. ovarian cysts ± complications: bleeding, rupture, torsion, infection) or ectopic pregnancies. Due to restricted preclinical diagnostic and therapeutic options the emergency treatment is limited to stabilization of the cardiopulmonary system (ABCDE-algorithm) and effective pain therapy. Thus, especially in an emergency setting, a focused medical history is essential and the possibility of a pregnancy in gynecological patients aged < 45 years must be kept in mind. © Georg Thieme Verlag KG Stuttgart · New York.