妇科腹腔内出血88例临床分析

Clinical analysis of 88 cases of intra-abdominal bleeding of Gynecological

目的探讨异位妊娠和黄体破裂导致的腹腔内出血的临床特征，以减少误诊及漏诊。方法对我院47例异位妊娠和41黄体破裂导致的腹腔内出血患者的临床资料行回顾性分析，分析比较临床特点。结果异位妊娠47例中，有停经史44例、阴道流血41例、休克26例、查体附件区包块42例及超声示附件区包块45例；出血量平均1429．43±57815ml。黄体破裂41例中，有停经史1例、阴道流血3例、休克13例、查体附件区包块6例及超声示附件区包块29例；出血量平均63374±371.84ml。经比较，临床症状、体征、超声检查及出血量差异均有统计学意义，P〈0.05。结论详细的询问病史，妇科查体、血尿HCG检查及超声检查，可以为正确诊断异位妊娠和黄体破裂提供诊疗依据。

Objective： To explore the clinical features of intra-abdominal bleeding due to ectopic pregnancy and corpus luteum rupture in order to reduce misdiagnosis. Methods： We analysed 47 cases of ectopic pregnancy and 41 corpus luteal rupture in our hospital which caused the intra-abdominal hemorrhage retrospectively.To analyse and compare clinical features of them. Restflts：In 47 cases of ectopic pregnancy, there were 44 cases of the history of menopause, 41 cases of vaginal bleeding, 26 cases of shock, 42 cases of check mass in area of annex and 45 case of mass in ultrasonography. The average bleeding was 1429.43578.15ml. In 41 cases of corpus luteum rupture,there were 1 cases of the history of menopause, 3 cases of vaginal bleeding, 12 cases of shock, 6 cases of check mass in area of annex, 45 case of mass in ultrasonography.The average bleeding was 633.74± 371.84ml. Clinical symptoms,signs, ultrasound and the volume of bleeding were statistically differences, P 〈0.05. Conclusion：The detailed medical history,gynecological examination, HCG of blood and urine and ultrasound can afford the foundation of early diagnosis and therapy for ruptured ectopic pregnancy and corpus luteum rupture.