摘要
目的总结异位妊娠和黄体破裂致腹腔内出血的临床特征以减少误诊。方法对因异位妊娠和黄体破裂而致的腹腔内出血的156例患者的临床资料进行回顾性分析。结果异位妊娠130例,黄体破裂26例,异位妊娠中有停经史者125例,腹痛史100%,阴道不规则流血118例,是主要的三联征,晕厥史32例,腹腔内出血量为150～3500ml,出血>1500ml的46例。黄体破裂以腹痛为主占100%,晕厥史占6例,腹腔内出血量100～2000ml,两组内出血量差异有统计学意义(P<0.05)。全组均手术治疗,无一例死亡。结论详细询问病史,尿人绒毛膜促性腺激素(HCG)定性检查及后穹窿穿刺为主要的诊断依据。临床要重视早期诊断及治疗。
Objective To investigate the clinical characteristics of intraperitoneal bleeding caused by ectopic pregnancy and rupture of corpora luteum in order to reduce misdiagnasis, Methods Data of 156 patients with intraperitoneal bleeding caused by ectopic pregnancy and rupture of corpora luteum were retrospectively analysed. Results There were 130 ectopic pregnancy and 26 rupture of corpora luteum. In patients with ectopic pregnancy, 125 patients had amenorrhea, 130 patients had abdominal pain, 118 patients had vaginal irregular bleeding （The main triad）, 32 patients had syncope. Bleeding volume ranged from 150 ml to 3 500 ml, 〉 150 ml in 46 patients. In patients with rupture of corpora luteum, abdominal pain was the principal symptom observed in all patients; 6 patients had sycope. Bleeding volume ranged from 100ml to 2 000 ml, significandy less than patients with ectopic pregnancy （ P 〈 0. 05）. Operations were performed in all patients, with no death. Conclution Correct diagnosis is based on careful case history collection, qualitative test of humen chorionic gonadotropin （HCG） in the urine and culdocentesis.
出处
《临床和实验医学杂志》
2007年第7期41-42,共2页
Journal of Clinical and Experimental Medicine
关键词
腹腔内出血
异位妊娠
黄体破裂
Intraperitoneal bleeding
Ectopic pregnancy
Rupture of corpora luteum
