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作者对30例淋病性腹膜炎临床诊断进行回顾分析。13例因误诊而行探腹术，其中11例误诊为急性阑尾炎、阑尾穿孔（84．6％），1例误为胆囊炎、胆石症（7．7％），1例误为卵巢黄体破裂（7．7％）。大多数病例有不洁性生活史。通常有以下特点：（1）就诊较晚；（2）无典型脐周转移右下腹疼痛史；（3）强直体位不明显；（4）腹部肌卫较轻，（5）右下腹压痛点固定不明显。本组30例从腹腔渗液或从阴道粘液均查见淋病双球菌（PCR技术）。结论是：从本组诊断经过中认为淋病性腹膜炎最易误诊为急性阑尾炎、阑尾穿孔。应根据病史，症状和实验室检查加以鉴别以避免不必要的剖腹探查术。
The authors retrospectively analyzed the clinical diagnosis of 30 cases of gonorrhea peritonitis. Thirteen patients underwent amputation due to misdiagnosis, of which 11 were misdiagnosed as acute appendicitis, appendectomy (84.6%), one was mistaken for cholecystitis and cholelithiasis (7.7%), and one was mistaken for corpus luteum rupture (7.7%). Most cases have a dirty life history. Usually have the following characteristics: (1) treatment is late; (2) no typical history of umbilical cord metastasis right lower quadrant pain; (3) tonic position is not obvious; (4) Not obvious. The group of 30 patients from the peritoneal exudate or vaginal mucosa are checked gonorrhea gonococci (PCR technology). The conclusion is: From the diagnosis of the group that gonorrhea peritonitis most likely misdiagnosed as acute appendicitis, appendectomy. Should be based on medical history, symptoms and laboratory tests to be identified to avoid unnecessary laparotomy.