论文部分内容阅读
目的:明确妇科腹腔内出血的临床特征,提高早期诊断率,降低治愈成本,减少误诊误治事故的发生,同时倡导广大妇女定期做妇科检查,保证广大妇女的健康生活。方法:主要通过对某院近几年因妇科腹腔内出血行急诊手术的121例患者的临床资料进行回顾性分析。结果:显示121例患者中异位妊娠98例,占81.0%。卵巢黄体破裂13例,占10.7%。卵巢巧克力囊肿破裂5例,占4.1%。出血性输卵管炎5例,占4.1%。内出血达200～2600ml。入院时121例患者中休克13例,占10.7%。因抢救及时无1例死亡。结论:妇科腹腔内出血疾病病情危急,尤其异位妊娠和卵巢黄体破裂,要掌握临床症状和体征,做到早期诊断和治疗。
Objective: To clarify the clinical features of intra-abdominal hemorrhage in gynecology, improve the early diagnosis rate, reduce the cost of cure, and reduce the incidence of misdiagnosis and mistreatment. At the same time, advocate the majority of women regularly gynecological examination to ensure the general healthy life of women. Methods: The clinical data of 121 patients who underwent emergency surgery due to gynecological intraperitoneal hemorrhage in a hospital in recent years were analyzed retrospectively. Results: 98 cases of ectopic pregnancy were found in 121 cases (81.0%). Ovarian lupus rupture in 13 cases, accounting for 10.7%. Ovarian chocolate cyst rupture in 5 cases, accounting for 4.1%. Hemorrhagic salpingitis in 5 cases, accounting for 4.1%. Internal bleeding up to 200 ~ 2600ml. 121 patients admitted to hospital in shock in 13 cases, accounting for 10.7%. No one died in time due to rescue. Conclusion: Gynecological intraperitoneal hemorrhagic disease in critical condition, especially ectopic pregnancy and corpus luteum rupture, to grasp the clinical symptoms and signs, so early diagnosis and treatment.