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目的探讨异位妊娠误行人工流产的原因,减少误诊率。方法对30例异位妊娠误行人工流产病例进行回顾性分析。结果临床工作人员不但没有仔细检查和详细询问病史,而且还没有让患者进行超声等辅助检查,进而导致了误诊现象;B超医生不能准确判定真假孕囊而误诊。结论做为医务人员在进行妇检时一定要仔细检查,详细询问病史,多运用辅助检查来进行确诊,加强B超医生的诊断率。人工流产术后应仔细检查刮出物并及时送病理检查。术后如果出现腹痛、腹胀,阴道流血应考虑到异位妊娠的可能。这样就可减少异位妊娠的误诊。
Objective To investigate the causes of induced abortion misdiagnosis and reduce the misdiagnosis rate. Methods Retrospective analysis of 30 cases of induced abortion misdiagnosed. Results The clinical staff not only did not double check and detailed medical history, but also did not allow patients to carry out ultrasound and other laboratory tests, which led to the misdiagnosis; B ultrasound doctors can not accurately determine the true and false gestational sac misdiagnosis. Conclusion As a medical staff in the gynecological examination must be carefully examined, detailed history, more use of auxiliary examination to confirm diagnosis, to enhance the diagnosis of B-ultrasound. Abortion should be carefully checked after scraping and timely delivery of pathological examination. Postoperative abdominal pain, bloating, vaginal bleeding should take into account the possibility of ectopic pregnancy. This will reduce the misdiagnosis of ectopic pregnancy.