【摘要】 目的 探讨异位妊娠他科误诊原因，减少误诊率。方法 回顾性分析我院2000年1月～2005年6月收治435例异位妊娠中9例因临床表现异常首诊到内外科室就诊，分析异常临床表现及原因。结果 2例腹泻伴下腹隐痛于肠道门诊就诊，2例发热、呕吐、下腹痛于内科就诊，3例胃痛伴呕吐及上腹痛伴呕吐于外科就诊，2例晕厥腹痛于急诊科就诊，经对症处理，最短5h、最长72h内出现休克症状而请妇科会诊，后诊断异位妊娠、失血性休克，急诊手术、积极抢救转危为安。结论

    【关键词】 异位妊娠；失血性休克；误诊

    Clinical study of misdiagnosis of hemorrhagic shock caused by ectopic pregnancy by department of non-obstetrics and gynecology

    FANG Jian,ZHAO Ming-hong,WU Hui-qing.

    The Central Hospital of Baoshan District,Shanghai 201900,China

    【Abstract】 Objective To investigate misdiagnosis causes of ectopic pregnancy to improve the rate of correct diagnosis.Methods Retrospective analysis was performed among 9 patinets with ectopic pregnancy firstly admitted to the department of non-obstetrics and gynecology due to abnormal clinical presentations ranging from Jan of 2000 to Jun of 2005 to identify the characteristics of these cases.Results 2 patients who had diarrhoea and abdominal pain to the intestinal out-patient department, 2 patients who had fever and vomit were admitted to the department of internal medicine, 3 patients who had epigastric pain with vomit were admitted to the department of surgery, 2 patient who had abdominal pain with syncope made emergency department visit. These patients were present fall of blood pressure, pale feature, tachycardia and symptoms of shock within 5-72 hours although medical treatments were administered. After consultation of obstetrics department, these patients were diagnosed as ectopic pregnancy with hemorrhagic shock according to the positivity of the urine HCG test of patients.Conclusion Fertilized women with acute abdominal pain should be considered the possibility of ectopic pregnancy or luteal cyst rupture, and urine HCG and pelvic ultrasound is sensitive approaches to the diagnosis of ectopic pregnancy. ......