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目的:明确妇科急腹症的临床特点以减少误诊,探讨引起妇科急腹症的原因和治疗原则。方法:对我院收治的378例妇科急腹症患者的临床资料进行回顾性分析。结果:异位妊娠309例,占比81.7%。卵巢黄体(或卵泡)破裂34例,占比8.9%。急性盆腔炎16例,占比4.2%。卵巢囊肿蒂扭转9例,占比2.3%。卵巢巧克力囊肿破裂6例,占比1.5%。急性出血性输卵管炎4例,占比1.1%。入院时有257例患者失血性休克,因抢救及时无一例死亡。结论:准确诊断,把握特点,是使用正确治疗方法,取得救治成功的必要前提。
Objective: To clarify the clinical features of gynecologic acute abdomen to reduce misdiagnosis, explore the causes of gynecologic acute abdomen and treatment principles. Methods: The clinical data of 378 cases of gynecologic acute abdomen admitted to our hospital were analyzed retrospectively. Results: 309 cases of ectopic pregnancy, accounting for 81.7%. 34 cases of ovarian corpus luteum (or follicular rupture), accounting for 8.9%. Acute pelvic inflammatory disease in 16 cases, accounting for 4.2%. Ovarian cyst torsion in 9 cases, accounting for 2.3%. Ovarian chocolate cyst rupture in 6 cases, accounting for 1.5%. Acute hemorrhagic salpingitis in 4 cases, accounting for 1.1%. At admission, there were 257 patients with hemorrhagic shock, died without any cause of rescue. Conclusion: Accurate diagnosis and grasping characteristics are the necessary prerequisites for using the correct treatment and obtaining the successful treatment.