我院自1985年～1995年共做女性阑尾炎手术687例，其中将妇科急腹症误诊为急性阑尾炎ZI例。现就误诊原因、诊断中应注意的问题以及经验教训作如下分析：临床资料本组病例中，年龄最小者14岁，最大者32岁，已婚16例，未婚5例，发病时间最短者6小时，最长者4天。有停经史1例，月经 Our hospital from 1985 to 1995 a total of 687 cases of female appendicitis surgery, gynecological acute abdomen misdiagnosed as acute appendicitis ZI cases. Now on the causes of misdiagnosis, diagnosis should pay attention to the problems and lessons learned as follows: Clinical data in this group of patients, the youngest 14 years old, the largest 32 years old, 16 married, 5 unmarried, the shortest onset time 6 Hours, the longest four days. A history of menopause, menstruation