探讨120例妇产科急腹症患者临床诊断

Clinic diagnosis of120cases with acute abdomen in Obstetrics and Gynecology

目的探讨妇产科急腹症患者的临床表现，并给予相应的治疗方案。方法搜集2015年12月~2016年12月我院妇产科收治的120例急腹症患者的住院病历，对其临床症状进行统计，回顾其诊断方法，总结诊断结果、治疗方法和治疗疗效。结果经统计异位妊娠破裂患者52例，占总人数的43.3%，盆腔炎患者39例，占总人数的32.5%，输卵管破裂患者5例，占总人数的4.16%，卵巢疾病患者11例，占总人数的9.17%，妇科手术创伤8例，占总人数的6.67%，其他肿瘤患者5例，占总人数的4.16%。其治疗手段有手术治疗85例，占总人数的70.83%，保守治疗35例，占总人数的29.17%，其中治愈62例，显效28例，有效24例，无效6例，总有效率为95%。结论急腹症患者应及时就诊，临床实施相应的治疗方案，可有效缓解患者疼痛，提高临床治疗效果。

Objective To investigate the clinic features of patients with acute abdomen in Obstetrics and Gynecology Department.Methods Clinic data of120cases with acute abdomen in Obstetrics and Gynecology Department in our hospital from December2015to December2016were selected and clinic features were recorded.diagnostic method,medical result,treatment method and therapy effect were retrospectively analyzed.Results There were52cases with ectopic pregnancy rupture,account for43.3%of the total number,39cases with pelvic infection(32.5%),5case with tubal rupture(4.16%),11cases with ovary disease(9.17%),8cases with operative wound(6.67%),5cases with other tumors(4.16%).There were85cases accepted operative treatment(70.83%),35cases accepted conservative treatment(29.17%).There were62cases cured,28cases were significantly effective,24cases effective,6case were invalid,total efficiency was95%.Conclusion One must go to see a doctor if he gets acute abdomen,corresponding treatment plan can relieve pain of patients and improve clinic treatment effect.