我院误诊陈旧性宫外孕5例,在处理上有些教训,现举2例分析如下。 例1:34岁。因下腹部坠痛、月经不规则3月余入院。查体:腹平坦、软,下腹偏右可扪及一鸭蛋大小包块,质韧、表面光滑,压痛(+),边缘稍齐、不活动;移动性浊音,肠鸣音稍亢进。查血Hb110g/L,WBC7.1×10~9/L,N0.69,L0.31。B超示子宫体积增大,宫底部见一7.4cm×6.5cm回声光团,回 5 cases of misdiagnosis of old ectopic pregnancy in our hospital, some lessons in the treatment, are citing 2 cases as follows. Example 1:34 years old. Due to lower abdomen pain, irregular menstruation more than 3 months admission. Physical examination: Abdomen flat, soft, lower abdomen right palpable and a duck egg size mass, quality and toughness, smooth surface, tenderness (+), the edge of a little Qi, inactive; voiced wheezing, bowel sounds slightly hyperthyroidism. Check blood Hb110g / L, WBC7.1 × 10 ~ 9 / L, N0.69, L0.31. B ultrasound shows uterine volume increases, the bottom of the palace to see a 7.4cm × 6.5cm echo light group, back