本文报告了北京协和医院1977年1月至1986年12月,10年中黄体破裂36例,与异位妊娠发病率之比为1:7,本组术前确诊率仅22.2%,有61.6%被误诊为异位妊娠。作者指出遇急腹症内出血病例,如无停经史、估计内出血量不多、妊娠试验阴性者,应多考虑黄体破裂。腹腔镜检有助于最后确诊。对无活跃出血者可以观察,减少不必要的剖腹手术。 This article reports the Peking Union Medical College Hospital from January 1977 to December 1986, 10 cases of corpus luteum rupture in 36 cases, the incidence of ectopic pregnancy was 1: 7, the preoperative diagnosis rate was only 22.2%, 61.6% Was misdiagnosed as ectopic pregnancy. The authors pointed out that cases of acute bleeding in case of acute abdomen, such as no history of menopause, the estimated small amount of internal bleeding, pregnancy test negative, should consider more rupture of corpus luteum. Laparoscopy can help confirm the final diagnosis. For those without active bleeding can be observed to reduce unnecessary laparotomy.