摘要
目的探讨临床妇科急症误诊为阑尾炎的常见原因以及避免其发生的预防对策,以提高医院的诊疗质量。方法对我院24例误诊为阑尾炎的妇科急腹症患者进行回顾性分析。结果 24例误诊为阑尾炎的病例最终均行剖腹探查术,术中诊断分别为右侧卵巢囊肿并发蒂扭转4例、盆腔炎附件炎10例、右侧输卵管炎3例、右侧卵巢囊状滤泡破裂3例、右侧卵巢黄体破裂2例、右侧输卵管积脓1例、右侧输卵管妊娠破裂1例,明确急腹症腹痛原因后进行急诊手术治疗,并采取相应的预防对策后治愈出院。结论在临床诊疗过程中,临床医生应该对就诊的患者进行细致的检查,结合其其它病史及影像学资料,做出正确的临床诊断,只有这样,才能够为患者解除病痛。
Objective To investigate the clinical gynecological acute appendicitis misdiagnosed as common cause and avoid the occurrence of preventive measures, in order to improve the medical quality of hospital. Methods 24 Cases were misdiagnosed as appendicitis in our hospital patients. Results 24 cases were misdiagnosed as appendicitis cases underwent laparotomy, intraopera- tive diagnosis were right ovarian cyst with torsion in 4 cases, 10 cases of pelvic inflammation, annex inflammation right fallopian tube inflammation in 3 cases, right ovarian cystic follicular rupture in 3 cases, right side 2 cases of rupture of corpus luteum, right side fallopian tube in 1 cases, the rupture of＇tubal pregnancy in 1 cases, after detailed exploration, clear the causes of abdominal pain after the operation of acute abdomen emergency treatment and cured. Conclusion In clinical practice, clinicians should be on the treatment of patients with physical examination and careful, according to the history and influence of other data, make cor- rect clinical diagnosis, thus to relieve pain in patients.
出处
《中国卫生产业》
2014年第9期18-19,共2页
China Health Industry
关键词
妇科急症
急性阑尾炎
误诊
Gynecologic emergency
Acute appendicitis
Misdiagnosis
