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目的探讨妇科急腹症患者的病因构成及鉴别诊断。方法回顾性分析2005年1月-2006年12月我院妇科急腹症200例患者的临床资料。结果妇科急腹症的原因依次为:内出血性疾病、感染性疾病、肿瘤并发症和其他等4大类。结论在妇科急腹症的诊断中,其病因复杂,但均以常见病,多发病为主,接诊除应在妇科疾病之间进行鉴别诊断,还需与一些外科疾病进行鉴别;对病情危重的患者,应在抗休克治疗的同时,尽早剖腹探查,不可为了盲目追求明确诊断,而失去了抢救机会。
Objective To investigate the etiology and differential diagnosis of patients with gynecologic acute abdomen. Methods The clinical data of 200 cases of gynecologic acute abdomen in our hospital from January 2005 to December 2006 were retrospectively analyzed. Results The causes of gynecological acute abdomen were as follows: internal hemorrhagic disease, infectious diseases, tumor complications and other four categories. Conclusions In the diagnosis of gynecological acute abdomen, its etiology is complex, but both are common and frequently-occurring disease, admissions should be differentiated between gynecological diseases, but also with some surgical diseases to be identified; critically ill Of patients, anti-shock treatment should be at the same time, laparotomy exploration as soon as possible, not for the blind pursuit of a clear diagnosis, but lost the opportunity to rescue.