摘要
[目的 ] 探讨妇科常见急诊的疾病种类与临床特征 ,急诊容易误诊原因及处理注意点。 [方法 ] 对妇科急诊收治的 1197例患者的临床资料进行回顾性分析。 [结果 ] 急性出血性疾病 (腹腔内出血 ,阴道出血 )占 6 0 .9% ,急性感染性疾病占 2 0 .3 % ,肿瘤性疾病占 11.8% ,创伤性疾病占 5 .2 % ,其他疾病占 1.8%。 1197例中 ,手术治疗 841例 (其中刮宫14 0例 ) ,非手术治疗 35 6例。异位妊娠、黄体破裂、卵巢囊肿扭转或破裂及急性盆腔炎易与急性阑尾炎、急性胃肠炎等疾病混淆。 [结论 ] 减少误诊、抢救成功的关键在于提高急诊科医师对妇科病的认识 ,妇科医师在了解病史、体格检查时需全面仔细。
Objective To investigate the clinical characteristics and types of common gynecologic emergencies and explore the reason of misdiagnosis and the key points for management. [Methods] The clinical data of 1197 gynecologic emergency patients were analyzed retrospectively. [Results] The emergency patients suffered from acute bleeding,including intra-abdominal and vaginal bleeding accounted for 60.9%. The emergency of acute abdominal tumour disease was 11.8%. The emergency of acute infectious disease and traumatic disease was 20.3% and 5.2% respectively. Other emergencies was 1.8%. Among 1197 patients, 841 patients received surgical treatment, including curettage for 140 cases, and 356 for nonsurgical treatment. The following diseases were susceptible to be misdiagnosed, such as ectopic pregancy, rupture of corpus luteum, torsion of orarian cyst and acute pelvic infectious disease, which were confused with acute appendicitis and gastroentertis. [Conclusion] The key of the successful rescue in gynecologic emergency treatment is the knowledge of the incharged doctors. Gynecologist have to be very careful when he or she checks medical records and does physical examinations. The diagnosis through ultrasonograpy is affected by the experiences of the doctors.
出处
《上海预防医学》
CAS
2001年第7期343-344,共2页
Shanghai Journal of Preventive Medicine
关键词
妇科
急诊
诊断
误诊
Gynecology
Emergency
Diagnosis
Misdiagnosis
