妇科急腹症198例临床分析
中图分类号：R711文献标识码： A文章编号： 1672-3783(2008)-1-0033-02【摘 要】目的 明确妇科急腹症的特征，提高诊断和治疗率。方法 对荆州市中心医院2004年1月至2006年1月以下腹疼痛伴阴道出血收住院的198例患者的病历资料进行了回顾性分析。结果 急腹症病例中多数为异位妊娠，黄体破裂，卵巢囊肿蒂扭转，急性盆腔炎，经血潴留等。结论 根据腹痛的部位和性质，诱因及病史，结合B超检查与后穹窿穿刺可迅速作出诊断,复杂病例和危重病人可及时剖腹探查明确诊断,对腹痛伴发热者,应注意有无近期宫腔手术史及不洁性生活史。
【关键词】妇科 急腹症 分析
Clinical Analysis on 198 Gynecological Acute Abdomen Pain Cases
YU Wan-fang,YU Zhi-ping, HU Xiao-qun
Note:No. 1 and No.3 authors are from Hubei Chinese Medicine College, Jingzhou,
Hubei. No.2 author is from Jingzou Central Hospital, Jingzhou, Hubei
【Abstract】Objective This paper is going to make clear about characterisitc of the gynecological acute abdomen pain and improve the rate of diagnosis and treatment.Method From Jan.,2004 to Jan.,2006, we drew 198 in-patients who are all abdominal pain with vaginal bleeding and made a retrospective research on it.Result In gynecological acute abdomen cases, ectopic pregnancy, luteal rupture, ovarian cysts torsion, acute pelvic inflammatory disease and blood retention etc. are take most of portions.Conclusion According to the positon of abdominal pain, symptom, inducement and patients’ history, some complicated and terminal ill cases could be made a prompt diagnosis through ultrasound examination andafter-fornix puncture, as well as confirmed its diagnosis by laparotomy detecting. In addition, if the patient was associated with fever, we should be pay attention to the patient if she had uterine surgery recently or dirty sexual life. ......
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