| 摘要: |
| ［摘要］ 目的 对妇产科临床疾病出现的误诊情况进行分析，以提高妇产科疾病诊断质量。方法 选取该院妇产科2011-03～2012-03收治经临床误诊为急性阑尾炎且均采取手术治疗方式的26例患者的临床资料及误诊情况进行回顾性分析。结果 所有患者均在进行阑尾炎手术治疗时证实为妇产科疾病，并在第一时间采取了相应的对症治疗和处理，包括卵巢修补、盆腔引流冲洗、宫外孕手术及卵巢囊肿切除等，经治疗后均获痊愈。结论 在临床诊断中，由于急性阑尾炎与妇产科疾病其临床症状非常相似，较容易发生误诊情况。因此，必须加强诊断过程中各种措施，详细地做好各种检查，不断总结经验，提高诊断水平，降低误诊的发生率。 |
| 关键词: 妇产科疾病 急性阑尾炎 误诊 |
| DOI：10.3969/j.issn.1674-3806.2013.04.24 |
| 分类号:R 711 |
| 基金项目: |
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| Analysis of 26 cases with obstetric and gynecological diseases misdiagnosed as acute appendicitis |
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LI Jin-lan
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Department of Obstetrics and Gynecology，the Fourth People’s Hospital of Changde City,Hunan 415000,China
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| Abstract: |
| ［Abstract］ Objective To analyze the misdiagnosed conditions of obstetric and gynecological diseases in order to improve the diagnostic quality of obstetric and gynecological disease.Methods Twenty-six misdiagnosed patients were treated in department of obstetrics and gynecology of our hospital between March 2011 to March 2012.All patients were misdiagnosed clinically as acute appendicitis and received surgical treatment.Their clinical data and misdiagnosed conditions were retrospectively analyzed.Results During surgical treatment for appendicitis all patients were confirmed to be suffering from obstetric and gynecological disease,and in the first time received appropriate symptomatic treatment and processing,including ovarian repair,pelvic drainage rinse,ectopic pregnancy surgery and ovarian cyst removal. All patients were cured after treament.Conclusion In clinical diagnosis,because the clinical symptoms of acute appendicitis and other is very similar to that of obstetric and gynecological diseases,it is more prone to misdiagnosis. Thus it should be necessary to strengthen the diagnostic process in a variety of measures,and actively do various checks, constantly sum up experience,in order to improve the level of diagnosis and reduce the occurrence probabiliy of misdiagnosis. |
| Key words: Obstetric and gynecological diseases Acute appendicitis Misdiagnosis |
