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1994～1995年,我们收治急性淋球菌性盆腔炎3例,术前均误诊为急性阑尾炎,现报告如下。 临床资料:本组均为女性,年龄22～28岁。主要临床表现为发热,下腹耻骨上压痛、反跳痛伴肌卫,血常规示白细脑总数及中性白细胞增高。经急症手术均见阑尾正常,下腹有较多黄白色脓液,卵巢、输卵管炎症充血,并有脓性分泌物。取脓液涂片检查找到淋球菌。术中吸净脓液,术后应用大剂量青霉素或环丙沙星治疗,均痊愈。 分析:急性淋球菌性盆腔炎为性传播性疾病,其临床特点为下腹持续性疼痛伴发热、头痛、乏
From 1994 to 1995, we treated 3 cases of acute gonococcal pelvic inflammatory disease, preoperative misdiagnosed as acute appendicitis, are as follows. Clinical data: This group are female, aged 22 to 28 years. The main clinical manifestations were fever, suprapubic tenderness on the lower abdomen, rebound tenderness with myopathy, blood total white blood cells and neutrophils showed increased. The emergency surgery are normal appendix, lower abdomen more yellow-white pus, ovarian, salpingitis hyperemia, and purulent secretions. Take pus smear check to find Neisseria gonorrhoeae. Intraoperative sucking net pus, postoperative application of large doses of penicillin or ciprofloxacin treatment, were cured. Analysis: Acute gonococcal pelvic inflammatory disease is a sexually transmitted disease with clinical features of persistent lower abdominal pain with fever, headache, lack of