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目的探讨妇科急腹症的临床特征,提高对该类疾病发展规律的认识,提高其诊断救治能力,改善患者预后。方法回顾性分析2003年1月至2007年12月我院妇科急腹症400例患者的临床资料。结果引起妇科急腹症的病因:内出血性疾病,感染性疾病及其他,内出血性和肿瘤并发症性手术治疗280例,感染性疾病及部分异位妊娠保守治疗者120例,全部患者均获痊愈出院,住院时间8～21d,平均9d。结论妇科急腹症病因复杂,但均以常见病,多发病为主,各自具有病史、体征、HCG、后穹窿穿刺、盆腔B超特点可资鉴别。
Objective To investigate the clinical features of gynecologic acute abdomen and improve the understanding of the development of such diseases and to improve their diagnosis and treatment ability and prognosis. Methods The clinical data of 400 patients with acute abdomen in our hospital from January 2003 to December 2007 were retrospectively analyzed. Results The causes of gynecological acute abdomen: internal hemorrhagic disease, infectious diseases and other surgical treatment of hemorrhagic and tumor complications of 280 cases of infectious diseases and some conservative treatment of ectopic pregnancy in 120 patients, all patients were cured Discharged, hospitalized 8 ~ 21d, an average of 9d. Conclusions The causes of gynecologic acute abdomen are complicated. However, the causes of gynecological acute abdomen are both common and frequently-occurring. Each has its own history, signs, HCG, culdocentesis and pelvic B-ultrasound.