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我院1975年1月～1986年12月共收治宫外孕116例,现将其中14例误诊分析总结如下。一、误诊情况宫外孕误诊为阑尾炎5例、黄体破裂3例、盆腔炎2例、卵巢羹肿扭转2例、中毒性菌痢1例、宫内妊娠合并不全肠梗阻1例。二、典型病例(见附表) 三、误诊原因分析 (一)病史1.月经史不清(例2、4),将不规则阴道流血误认为末次月经(例1)。2.对既往慢性疾病史只考虑到复发,没有对月经史、症状、体征作全面分析,如例1原有右下腹慢性腹痛史,误认为慢性阑尾炎急性发作。例4原有胃肠炎反复发作史误诊为菌痢。
Our hospital from January 1975 to December 1986 were treated 116 cases of ectopic pregnancy, now 14 of them misdiagnosed analysis is summarized as follows. First, the misdiagnosis Ectopic pregnancy misdiagnosed as appendicitis in 5 cases, corpus luteum rupture in 3 cases, pelvic inflammatory disease in 2 cases, ovarian swelling in 2 cases, toxic bacillary dysentery in 1 case, intrauterine pregnancy complicated with incomplete intestinal obstruction in 1 case. Second, the typical cases (see table) Third, the causes of misdiagnosis (A) history 1. Menstrual history is unclear (2, 4), the irregular vaginal bleeding mistaken for the last menstrual period (Example 1). 2. The history of previous chronic diseases only considered recurrence, no history of menstruation, symptoms and signs for a comprehensive analysis, such as cases of chronic abdominal pain in the original right lower quadrant history, mistaken for acute exacerbation of chronic appendicitis. Example 4 recurrent history of the original gastroenteritis misdiagnosed as bacillary dysentery.