摘要
目的总结妇科腹腔内出血的病因、特征以减少误诊。方法对因腹腔内出血的218例患者的临床资料进行回顾性分析。结果异位妊娠146例，占66．7％，黄体破裂50例，占22．93％。其余分别为出血性输卵管炎（4．13％）、巧克力囊肿破裂（3．21％）和卵巢滤泡囊肿破裂（2．75％）。异位妊娠腹腔内出血量异位妊娠内出血量为400ml～3000ml，其中〈500ml有65例，大于500ml为91例，达到55．48％，黄体破裂腹腔内出血量为200—2500ml，以500～2000为主，其余三种腹腔内出血的病因，出血量均小于500ml。无一例死亡。结论异位妊娠在妇科腹腔内出血是首位病因，HCG检测和B超检查，后穹窿或腹腔穿刺是简便而重要的诊断手段。
Objective To summarize the etiopathogenisis, clinical features of intraabdominal hemorrhage so as to decrease the misdiagnosis. Methods 218 cases of intraabdominal hemorrhage were retrospectively analyzed. Results The rates of ectopic pregnancy and rupture of corpus luteum were 66.7% and 22.93%, respectively. The rest were hemorrhagic salpingitis, Chocolate cyst rupture and follicular cyst of ovary. The volumes of intra - abdominal hemorrhage caused by ectopic pregnancy were 400 to 3000ml. Among them, 65 cases were below 500 ml and 91cases were above 500ml. The volumes of intraabdominal hemorrhage caused by rupture of corpus luteum were 500 -2000ml. The 12 cases of rupture of corpus luteum were conservatively treated. None died. Conclusion Ectopic pregnancy is the main reason causing intraabdominal hemorrhage; measuring the HCG level, ultrasonography examination and Cul - De - Sac are convenient and important diagnostic methods.
关键词
异位妊娠
黄体破裂
腹腔内出血
Ectopic pregnancy Rupture of corpus luteum Intraabdominal hemorrhage
