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目的明确妇科急腹症的特征,提高诊断和治疗效率。方法对松滋市人民医院和松滋市计划生育服务站2004年1月至2005年1月以下腹疼痛伴阴道出血收住院的198例患者的病历资料进行了回顾性分析。结果急腹症患者中多数为异位妊娠,黄体破裂,卵巢囊肿蒂扭转,急性盆腔炎,经血潴留等。结论根据腹痛的部位和性质,诱因及病史,结合B超检查与后穹窿穿刺可迅速作出诊断,复杂和危重患者可及时剖腹探查明确诊断,对腹痛伴发热者,应注意有无近期宫腔手术史及不洁性生活史。
Objective To clarify the characteristics of gynecological acute abdomen and improve the diagnosis and treatment efficiency. Methods A retrospective analysis was performed on the medical records of 198 patients admitted to Songzi People’s Hospital and Songzi Family Planning Service Station from January 2004 to January 2005 following abdominal pain and vaginal bleeding. Results Most patients with acute abdomen ectopic pregnancy, corpus luteum rupture, ovarian cyst torsion, acute pelvic inflammatory disease, menstrual retention and so on. Conclusion According to the site and nature of abdominal pain, causes and medical history, combined with B-check and posterior fornix puncture can make a diagnosis quickly, complex and critically ill patients can be timely laparotomy to confirm the diagnosis of abdominal pain with fever should pay attention to whether the recent intrauterine surgery History and unclean life history.