目的 :明确妇科常见急腹症的临床特征 ,减少误诊。方法 :对我院 1998年 1月～ 2 0 0 3年 1月妇科急腹症患者 2 87例进行回顾性分析。结果 :2 87例病人包括 11个病种 ,分四大类 :腹腔内出血性疾病、感染性疾病、肿瘤并发症及其他疾病。结论 :宫外孕及感染性疾病的发病率均有上升趋势 ,在诊断时要注意认真询问病史 ,注意近期不洁同房史或宫腔手术史 ,监测HCG ,行后穹隆穿刺是重要鉴别诊断的手段 Objective: To clarify the clinical features of common gynecological acute abdomen and reduce misdiagnosis. Methods: A retrospective analysis of 2 87 cases of gynecologic acute abdomen in our hospital from January 1998 to January 2003 was conducted. RESULTS: Two hundred eighty-seven patients included 11 diseases and were divided into four categories: intraperitoneal hemorrhagic disease, infectious disease, tumor complication and other diseases. Conclusion: The incidence of ectopic pregnancy and infectious diseases are on the rise. At the time of diagnosis, careful attention should be paid to the history of the disease. Attention should be paid to the history of unclear intercourt history or intrauterine surgery. Monitoring of HCG and posterior fornix puncture are important means of differential diagnosis