妇科急腹症198例临床分析

Clinical analysis on 198 gynecological acute abdomen pain cases

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 This paper is going to make clear about characterisitc of the gynecological acute abdomen pain and improve the rate of diagnosis and treatment. Methods From Jan. 2004 to Jan. 2005, drew 198 in-patients from Songzi People＇ s hosptial and Songzi family planning station who are all abdominal pain with vaginal bleeding and made a retrospective research on it. Results In gynecological acute abdomen cases,ectopic pregnancy, luteal rupture,ovarian cysts torsion, acute pelvic inflammatory disease and blood retention etc. are take most of portions. Conclusion According to the positon of abdominal pain, symptom,inducement and patients＇ history, some complicated and terminal ill cases could be made a prompt diagnosis through ultrasound examination and after-fornix puncture,as well as confirmed its diagnosis by laparotomy detecting. In addition,if the patient was associated with fever, we should be pay attention to the patient if she had uterine surgery recently or dirty sexual life.