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目的:探讨宫外孕延误就诊原因,提出宫外孕破裂大出血的预防及救治方法。方法:回顾性分析2013年1月-2014年12月我院93例延误就诊的宫外孕临床资料。结果:近2年来我院宫外孕延误就诊占宫外孕总数的60.78%,及时就诊组和延误就诊组的婚姻、文化程度比较,差异无统计学意义(P>0.05);有职业与否、居住地的不同以及对宫外孕知识的了解情况进行比较,差异有统计学意义(P<0.05)。所有延误就诊的宫外孕患者到院后均及时抢救及手术治疗,痊愈出院,治愈率100%。结论:通过提高广大群众特别是农村妇女、无职业的妇女对宫外孕知识的认知能力,可能降低宫外孕的延误就诊率,预防宫外孕破裂大出血的发生;医院接诊疑似宫外孕破裂大出血患者即启动绿色通道,多科室合作争分夺秒进行抢救治疗,有助于提高抢救成功率,降低宫外孕腹腔内出血对患者及其家庭危害程度。
Objective: To explore the causes of delayed ectopic pregnancy treatment, prophylaxis and treatment of eruption of ectopic pregnancy hemorrhage. Methods: The clinical data of 93 cases of delayed ectopic pregnancy in our hospital from January 2013 to December 2014 were analyzed retrospectively. Results: In the past two years, the delay of ectopic pregnancy in our hospital accounted for 60.78% of the total number of ectopic pregnancies. There was no significant difference in the marital and educational level between the timely treatment group and the delayed treatment group (P> 0.05) Differences and understanding of ectopic pregnancy knowledge were compared, the difference was statistically significant (P <0.05). All delayed treatment of ectopic pregnancy patients to the hospital after timely rescue and surgical treatment, discharged, the cure rate was 100%. Conclusion: By improving the cognitive ability of the general public, especially rural women and unprofessional women on ectopic pregnancy knowledge, it is possible to reduce the delay rate of ectopic pregnancy and prevent the occurrence of ruptured hemorrhage in ectopic pregnancy. The hospital admissions of patients with suspected ectopic rupture of hemorrhage start the green channel , Multi-departmental cooperation race against time to rescue treatment, help to improve the success rate of rescue, reduce the degree of harm to patients and their families by intrauterine bleeding.