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目的探讨护士在门诊中如何辩证导诊患者,减少宫外孕的误诊率。方法回顾确诊为宫外孕的23例患者,其中21例首诊正确,抢救及时,预后好。2例因首诊为“肠炎”、“阑尾炎”而未能得到及时的病因治疗,虽然未造成极坏后果,但因此增加了患者的痛苦和加重了病情。结论宫外孕在症状和特征不一定十分典型,通过详细的收集病史,细致的观察患者,加以辩证分析、去伪存真,结合相应的实验室检查,才能使患者及时得到正确治疗,早日康复。
Objective To explore how nurses dialectically guide patients in outpatients to reduce the misdiagnosis rate of ectopic pregnancy. Methods Twenty-three patients diagnosed as ectopic pregnancy were retrospectively reviewed. Twenty-one of them were correctly diagnosed first, rescued promptly and had good prognosis. 2 cases because of the first diagnosis of “enteritis”, “appendicitis” and failed to get timely treatment of etiology, although did not cause very bad consequences, but therefore increased the patient’s pain and aggravate the condition. Conclusion Ectopic pregnancy symptoms and characteristics are not necessarily very typical, through a detailed collection of medical history, careful observation of patients, to be dialectical analysis, to pseudo-true, combined with the corresponding laboratory tests in order to enable patients to get the correct treatment in time, the early recovery.