摘要
目的探讨妇科急腹症患者的临床特点与诊治方法。方法回顾性分析2009年2月～2012年2月在笔者所在医院治疗的88例妇科急腹症患者临床资料。结果经保守治疗痊愈14例(15.91%),行手术治疗74例(84.09%)。由于误诊、漏诊导致患者错过最佳抢救时机,术中大出血和(或)休克等脏器衰竭后死亡2例,死亡率为2.27%。结论妇科急腹症病种多、病情变化快且复杂,诊断要详细询问病史,严格体格检查,结合临床症状、B超、HCG及后穹窿穿刺结果综合分析,并加强鉴别诊断。手术是治疗妇科急腹症的有效手段。
Objective To explore the clinical diagnosis and treatment experience of 88 patients with gynecologic acute abdomen. Methods 88 cases of gynecologic acute abdomen in our hospital from February 2009 to February 2012 were retrospectively analyzed of the clinical data.Results 14 cases （15.91%） recovered after conservative treatment,74 cases （84.09%）treated by operative treatment,due to the misdiagnosis and missed diagnosis,patients missed the best rescue time and appeared intraoperative hemorrhage and （or） shock and other organs failure,2 cases died,and the mortality was 2.27%. Conclusion Gynecologic acute abdomen disease entities,analysis condition changes fast and complex,ask for details of the history,strict physical examination when diagnosed.In combination with the clinical symptoms,B uhrasound,HCG and posterior fornix puncture results analysis,and strengthen the differential diagnosis.Surgery is an effective treatment of gynecological acute abdomen.
出处
《中国医药科学》
2012年第24期230-231,共2页
China Medicine And Pharmacy
关键词
妇科急腹症
异位妊娠
卵巢破裂
Gynecologic acute abdomen
Ectopic pregnancy
Ovarian rupture
