淋病是最常见的性病之一,传播迅速,主要危险是发生并发症和造成女性不育的后遗症。由于淋病不引起特异性症状,且局部的显微镜细菌学检查的阳性翠不高,因而易造成漏诊及误诊。淋菌性盆腔腹膜炎为严重并发症之一。作者曾收治5例,其中3例误诊为阑尾炎而手术。5例患者平均年龄26.4岁,已婚4例,未婚1例。5例均有严重下腹痛、发热、恶心呕吐和明显的腹膜炎体征,均作分泌物涂片的显微镜检查,全部发现有细胞内外革兰氏阴性双球菌。均用青霉素治疗,静滴或肌注6～13天,平均9.6天。头2～3天静滴青霉素每天480万单位,以后改为肌注每 Gonorrhea is one of the most common sexually transmitted diseases, spread rapidly, the main danger is the occurrence of complications and female infertility sequelae. Because gonorrhea does not cause specific symptoms, and local microscopic examination of the positive bacteria is not high, which can easily lead to missed diagnosis and misdiagnosis. Gonococcal pelvic peritonitis is one of the serious complications. The authors have received 5 cases, of which 3 were misdiagnosed as appendicitis and surgery. Five patients had an average age of 26.4 years, 4 married and 1 unmarried. All 5 cases had severe lower abdominal pain, fever, nausea and vomiting and obvious signs of peritonitis. All of them were microscopically examined for smear of smear, and all of them were found to have Gram-negative bacteria. Are treated with penicillin, intravenous infusion or intramuscular 6 to 13 days, an average of 9.6 days. The first 2 to 3 days intravenous penicillin 4.8 million units per day, later changed to intramuscular injection