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目的探讨妇科急性腹痛的鉴别诊断与处理方法。方法将2009年1月至2011年7月期间本院收治的180例急性腹痛患者的临床资料进行回顾性分析,分析其病因的构成和发病的特点,总结鉴别诊断及处理的方法。结果引起妇科急性腹痛的病因主要有异位妊娠、妇科感染性疾病、卵巢囊肿蒂扭转或黄体破裂、经血潴留、肿瘤并发症等疾病,治疗过程中注意鉴别发病原因并根据病因进行针对性处理。结论妇科急性腹痛的病因组成复杂,并且发病较急且重、病程进展快,需要及时进行鉴别诊断和处理,临床工作者需熟练掌握常见的发病原因和处理方法,能及时做出针对性处理,保障患者的生命健康。
Objective To investigate the differential diagnosis and treatment of acute abdominal pain in gynecology. Methods The clinical data of 180 patients with acute abdominal pain admitted to our hospital from January 2009 to July 2011 were retrospectively analyzed. The causes of the disease and the characteristics of the pathogenesis were analyzed. The methods of differential diagnosis and treatment were summarized. Results The main causes of acute gynecological abdominal pain are ectopic pregnancy, gynecological infectious diseases, ovarian cyst torsion or corpus luteum rupture, menstrual blood retention, tumor complications and other diseases. The course of treatment should be noted to identify the cause of the disease and be treated according to the cause. Conclusions The causes of acute abdominal pain in gynecology are complex, and the incidence is relatively acute and severe. The course of the disease progresses rapidly and needs differential diagnosis and treatment in time. Clinicians must be familiar with the common causes and treatment methods and be able to timely make targeted treatment. Protect the patient’s life and health.