妇科腹腔内出血264例临床分析

Clinical analysis of abdominal bleeding of gynecoiatry

目的 明确异位妊娠、卵巢破裂和出血性输卵管炎所致腹腔内出血的临床特征以减少误诊。方法 对异位妊娠、卵巢破裂和出血性输卵管炎所致腹腔内出血急诊入院的264例患者的临床资料进行回顾性分析。结果 异位妊娠226例,占85.6％,卵巢破裂34例,占12.9％,出血性输卵管炎4例,占1.5％。异位妊娠门诊误诊9例,手术前确诊率为100％。34例卵巢破裂中有11例误诊为异位妊娠,误诊率为32.3％。4例出血性输卵管炎误诊为异位妊娠3例,卵巢破裂1例,误诊率100％。结论 应提高对异位妊娠的警惕,有待于提高对卵巢破裂和出血性输卵管炎的临床诊断准确率。

Objective To realize the clinical character of the ectopic pregnancy/ovarian rupture and bleeding tubalitis for less misdiagnosis. Methods Retrospectively analyzed the clinical data of 264 cases of ectopic pregnancy/ovarian rupture and bleeding tubalitis who were admitted acutely to our hospital. Results Among 264 cases, 226 cases with ectopic pregnancies (85. 6% ), 34 cases with ovarian rupture (12. 9% ), 4 cases with bleeding tubalitis (1. 5% ), 9 cases with ectopic pregnancy were misdiagnosed at OPD and the diagnosed rate was 100% before operation. 11 cases (34% ) with ovarian rupture were misdiagnosed as ectopic pregnancy (32. 3% ), 3cases (4% ) with bleeding twbalitis were misdiagnosed as ectopic pregnancy, lease as ovarian rupture. The misdiagnosed rate was 100%. Conclusion It is important to pay attention to ectopic pregnancy and improve the clin-ican diagnosed rate of the cases with ovarian rupture and bleeding tubalitis.