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我院从1986年～1988年,共有妇科急诊2193例,其中急腹症647例,从入院的397例中,经手术和/或病理检查,以及住院后观察,证实系误诊者34例,误诊率5.25％。为吸取教训,提高妇科急诊的质量,特分析如下。1 妇科急腹症误诊病种 误诊的34例中,其中急性盆腔炎6例(占17.65％),被误诊为宫外孕4例,误诊为阑尾炎2例;宫颈粘连4例、宫内妊娠6例,均被误诊为宫外孕(分别占11.74％及17.65％),附件病变3例(占8.82％),被误诊为宫外孕1例,误诊为卵巢囊肿蒂扭转2例;后腹膜肿块2例均被误诊为卵巢囊肿蒂扭转(占5.88％);急性阑尾炎误诊为盆腔炎1例(占
Our hospital from 1986 to 1988, a total of 2193 cases of gynecological emergency, of which 647 cases of acute abdomen, from the admission of 397 cases, by surgery and / or pathological examination, and after hospitalization confirmed that the Department of misdiagnosis in 34 cases, misdiagnosis Rate of 5.25%. To learn lessons to improve the quality of gynecological emergency, special analysis is as follows. 1 misdiagnosis of gynecological acute abdomen misdiagnosis of 34 cases, of which acute pelvic inflammatory disease in 6 cases (17.65%) were misdiagnosed as ectopic pregnancy in 4 cases, misdiagnosed as appendicitis in 2 cases; cervical adhesions in 4 cases, intrauterine pregnancy in 6 cases, Were misdiagnosed as ectopic pregnancy (11.74% and 17.65%, respectively), 3 cases of accessory disease (8.82%) were misdiagnosed as ectopic pregnancy, misdiagnosed as ovarian cyst torsion in 2 cases, retroperitoneal mass in 2 cases were misdiagnosed as Ovarian cyst torsion (accounting for 5.88%); acute appendicitis misdiagnosed as pelvic inflammatory disease in 1 case (accounting for