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目的分析异位妊娠误诊原因,提高对异位妊娠的诊断及鉴别诊断水平。方法对迁安市人民医院2005-01-2010-12的异位妊娠误诊14例临床资料进行回顾性分析。结果 14例误诊患者分别误诊为阑尾炎、黄体破裂、先兆流产、胃肠炎、结肠炎等,后经相关检查、剖腹探查及腹腔镜探查术确诊。结论详细询问病史,全面认真分析各种辅助检查是减少误诊的重要手段。
Objective To analyze the causes of misdiagnosis of ectopic pregnancy and improve the diagnosis and differential diagnosis of ectopic pregnancy. Methods The clinical data of 14 cases misdiagnosed by ectopic pregnancy in Qian’an People’s Hospital from January 2005 to October 2010 were retrospectively analyzed. Results 14 cases of misdiagnosed patients were misdiagnosed as appendicitis, luteal rupture, threatened abortion, gastroenteritis, colitis, etc., after the relevant examination, laparotomy and laparoscopic diagnosis. Conclusions Detailed medical history, comprehensive and careful analysis of various auxiliary examination is an important means to reduce misdiagnosis.