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目的探讨妇科急腹症误诊原因及预防办法。方法回顾性分析2005年1月至2008年12月本院收治误诊的妇科急腹症43例;结果43例误诊病例中,外科转入33例,内科转入5例,妇科误诊5例,其中,异位妊娠误诊29例,卵巢囊肿蒂扭转误诊4例,出血性输卵管炎误诊3例,黄体破裂误诊2例,巧克力囊肿破裂误诊2例,卵巢囊肿破裂误诊2例,输卵管囊肿扭转并发卵巢坏死误诊1例。结论全面询问病史和进行全身体检及必要的辅助检查。掌握有关腹痛的来源及其发生、发展过程,动态客观分析腹痛发生的时间、性质及内出血的体征,有助于对妇科急腹症作出诊断和鉴别诊断,是降低妇科急腹症误诊率的关键。
Objective To investigate the causes and prevention of misdiagnosis of gynecologic acute abdomen. Methods A retrospective analysis of 43 cases of gynecological acute abdomen treated in our hospital from January 2005 to December 2008 was retrospectively analyzed. Results Among the 43 misdiagnosed cases, 33 cases were surgically transferred, 5 cases were transferred to internal medicine and 5 cases were misdiagnosed as gynecology , Misdiagnosis of ectopic pregnancy in 29 cases, ovarian cyst torsion misdiagnosis in 4 cases, hemorrhagic salpingitis misdiagnosis in 3 cases, corpus luteum rupture misdiagnosis in 2 cases, chocolate cyst rupture misdiagnosis in 2 cases, ovarian cyst rupture misdiagnosis in 2 cases, tubal cyst torsion complicated with ovarian necrosis Misdiagnosis in 1 case. Conclusion Comprehensive medical history and physical examination and necessary auxiliary examination. Grasp the source of abdominal pain and its occurrence, development process, dynamic and objective analysis of the time, the nature of abdominal pain and signs of internal bleeding, contribute to the diagnosis and differential diagnosis of gynecological acute abdomen is the key to reduce the misdiagnosis rate of gynecological acute abdomen .