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引起妇女急性下腹痛的原因很多,现就流产、输卵管妊娠破裂及流产、急性阑尾炎、卵巢囊肿蒂扭转及急性盆腔炎的临床特征进行一下讨论,以便迅速明确诊断与处理。1.病史是获得明确诊断的前提和重要步骤。(1)腹痛发生时的情况:腹痛是否突然发生,有无急剧变换体位等诱因,由于妇科急腹症在发病之初的疼痛部位与病变常常一致,在询问病史时应了解初起腹痛部位及有无变化,是否放射到肩部、下肢。疼痛是阵发性还是持续性,疼痛的性质是钝痛、胀痛、下坠痛、绞痛还是撕裂痛。
Acute lower abdominal pain caused by women for many reasons, are abortion, tubal pregnancy rupture and abortion, acute appendicitis, ovarian cyst torsion and clinical features of acute pelvic inflammatory disease to discuss in order to quickly confirm the diagnosis and treatment. 1. History is a prerequisite and an important step in obtaining a clear diagnosis. (1) abdominal pain occurs when the situation: whether a sudden abdominal pain, abercrombie france, with or without rapid changes in position and other incentives, as early as the onset of gynecological acute abdomen and painful lesions are often the same, in the history asked should understand the beginning of abdominal pain and Whether there is change, whether the radiation to the shoulder, lower limbs. The pain is paroxysmal or persistent, the nature of the pain is dull, painful, falling pain, colic or tear pain.