妇科急腹症的临床鉴别观察及护理

Identification of Gynecologic Acute Abdomen Clinical Observation and Nursing

目的探讨妇科急腹症的临床特征,提高护士对该类疾病的临床鉴别观察能力,为疾病诊断提供临床线索,并实施有效的护理措施。方法回顾性分析2008年1～12月我院妇科急腹症230例患者的临床资料。结果疾病种类依次为感染性疾病、内出血性疾病、肿瘤并发症、其他等,临床特征为白细胞计数>10×109/L的有52.18%(120例),阴道流血43.91%(101例),有停经史43.04%(99例),尿HCG阳性42.61%(98例),有休克临床表现35.65%(82例),发热为26.96%(62例),腹泻5.22%(12例),后穹隆穿刺阳性率79.57%。结论各种疾病所致的妇科急腹症有其典型临床特征,护士可根据患者的临床症状、体征、病史、检查结果进行鉴别观察,为疾病的诊断、治疗提供帮助。

Objective To investigate the clinical characteristics of gynecologic acute abdomen, to improve the identification of types of diseases the ability to observe, To provide clinical clues to diagnosis, And implement effective care measures. Methods Retrospective analysis from January 2008 to December 2008 in our hospital 230 cases of gynecologic acute abdomen in patients with clinical data. Results Type of illness followed by infectious diseases, Bleeding disorders, Tumor complications, and Others. Clinical characteristics of White blood cell count〉10×10^9/ L were 52.18% （120 cases）,43.91% for the vaginal bleeding （101 cases）, There are 43.04% the history of Menstruation to stop （99 cases）, HCG--positive urine 42.61% （98 cases）, There are clinical manifestations of shock 35.65% （82 eases）, Heat for the 26.96% （62 cases）, Diarrhea 5.22% （12 eases）, The positive rate of dome puncture after 79.57%.Conclusion Various diseases of gynecologic acute abdomen has its typical clinical features, Nurses according to patient＇s clinical symptoms, signs, medical history, test results were identified by observation, For disease diagnosis, treatment to help.