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研究背景]出血性输卵管炎易误诊为异位妊娠.[病例报告]11例患者中6例有停经史;发病时11例均有腹痛,7例伴有阴道流血,6例伴有肛门坠胀感,2例伴有恶心、呕吐,1例伴有头晕;体温高于375℃者2例,休克1例.11例均有不同程度的腹部压痛,6例有反跳痛,3例有腹肌紧张,4例有移动性浊音;均有宫颈举痛、附件压痛及后穹窿触痛,后穹窿饱满3例,附件增厚2例,均未触及附件包块.[病例讨论]通过详细询问病史,特别是停经史、近期有无宫腔操作史,再结合临床表现及辅助检查结果,可作出正确诊断
Background] hemorrhagic salpingitis is often misdiagnosed as ectopic pregnancy. [Case Report] Six of 11 patients had a history of menopause; 11 cases had abdominal pain at onset, 7 with vaginal bleeding, 6 with droopy anus, 2 with nausea and vomiting, and 1 with Dizziness; body temperature above 37 5 ℃ in 2 cases, shock in 1 case. 11 cases had varying degrees of abdominal tenderness, 6 cases of rebound tenderness, 3 cases of abdominal muscle tension, 4 cases of mobile dullness; both cervical pain, attachment tenderness and posterior fornix tenderness, posterior fornix full 3 cases , 2 cases of thickening attachment, did not touch the annex mass. [Case Discussion] By inquiring about the history, especially the history of menopause, the recent history of intrauterine operation, combined with clinical manifestations and laboratory examinations can make the correct diagnosis