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目的:总结探讨异位妊娠和黄体破裂腹腔内出血致休克的诊断与治疗,以提高诊断率,减少误诊。方法:对130例因腹腔内出血致休克的患者出血量的临床资料进行回顾性研究分析。结果:卵巢黄体破裂32例,占24.62%,出血量722～2 800 ml,误诊率为12.5%;异位妊娠98例,占75.38%,出血量1 000～3 500 ml,误诊率为13.26%;两组患者出血量比较,差异有统计学意义(P<0.05)。结论:明确诊断标准,明晰妊娠腹腔内和卵巢黄体破裂腹腔内出血量差异,通过B超辅助检查,可及时诊治两类患者,提高诊治的成功率,降低误诊和死亡率。
Objective: To summarize the diagnosis and treatment of shock caused by ectopic pregnancy and luteal rupture due to intraperitoneal hemorrhage in order to improve the diagnosis rate and reduce misdiagnosis. Methods: The clinical data of 130 patients with shock caused by intra-abdominal hemorrhage were analyzed retrospectively. Results: 32 cases of ovarian lupus rupture accounted for 24.62%, bleeding amount was 722 ~ 2 800 ml, misdiagnosis rate was 12.5%; ectopic pregnancy in 98 cases, accounting for 75.38%, bleeding amount of 1 000-3 500 ml, the misdiagnosis rate was 13.26% There was significant difference in bleeding volume between the two groups (P <0.05). Conclusion: The diagnostic criteria are clear. The differences of intraperitoneal hemorrhage between intraperitoneal and ovarian luteal rupture in pregnancy are clarified. Two types of patients can be diagnosed and treated timely by B ultrasound, which can improve the success rate of diagnosis and treatment and reduce the misdiagnosis and mortality.