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目的明确妇科常见急腹症的临床特征以减少误诊,并探讨不同疾病的治疗原则。方法对315例患者的临床资料进行回顾性分析。结果315例患者包括11个病种,分为腹腔内出血性疾病(91.7%),感染性疾病(6.0%)肿瘤并发症(2.2%),和其他疾病(1.3%)4大类。内出血疾病为以手术治疗为主,而感染性疾病以保守治疗为主。异位妊娠、黄体破裂、出血性输卵管炎、急性阑尾炎容易相互误诊。结论妇科急腹症诊断中应详细询问病史,尤其是月经史、近期宫腔手术史及不洁性生活史,血、尿HCG检测及B超检查、后穹隆或腹腔穿刺对诊断及鉴别诊断具有重要意义。
Objective To clarify the clinical characteristics of gynecological common acute abdomen to reduce misdiagnosis and explore the treatment principles of different diseases. Methods The clinical data of 315 patients were retrospectively analyzed. Results 315 patients included 11 diseases, which were divided into 4 categories: intra-abdominal hemorrhagic disease (91.7%), infectious disease (6.0%), tumor complication (2.2%) and other diseases (1.3%). Internal bleeding disease mainly by surgical treatment, and infectious diseases dominated by conservative treatment. Ectopic pregnancy, corpus luteum rupture, hemorrhagic salpingitis, acute appendicitis misdiagnosis. Conclusion The diagnosis of gynecological acute abdomen should be asked in detail about the history, in particular the history of menstruation, recent history of intrauterine surgery and unclean sexual history, blood, urine HCG test and B-ultrasound, posterior fornix or abdominal puncture for diagnosis and differential diagnosis Significance.