877例妇科急诊回顾性分析

目的：分析妇科急诊的疾病种类与临床特征,探讨急诊误诊的原因及处理措施。方法：对妇科急诊收治的877例患者的临床资料进行回顾性分析。结果：急性出血性疾病占70．1％,急性感染性疾病占16．2％,肿瘤性疾病占8．3％,创伤性疾病占4．3％,其他疾病占1．1％。877例中,手术治疗640例,非手术治疗237例。异位妊娠、黄体破裂、卵巢囊肿扭转或破裂及急性盆腔炎易与急性阑尾炎、急性胃肠炎等疾病混淆。结论：减少误诊、抢救成功的关键在于提高急诊科医师对妇科病的认识,妇科医师在了解病史、体格检查时需全面仔细。要正确评估B超的辅助诊断作用。

AN ANALYSLS OF COMMON GYNECOLOGIC EMERGENCIES

Objective:To investigate the clinical characteristics and types of common gynecologic emergencies and explore the reason of misdiagnosis and the key points for management.Methods:The clinical data of 877 gynecologic emergency patients were analyzed retrospectively.Result:The emergency patients suffered from acute bleeding,including intra-abdominal and vaginal bleeding which accounted for70.1%.The emergency of acute abdominal tumour disease was 8.3%.The emergency of acute infectious disease and traumatic disease was 16.2% and 4.3% respectively.Other emergencies was 1.1%.Among 877 patients,640 patients received surgical treatment,and 237 for nonsurgical treatment.The following diseases were susceptible to misdiagnosis,such as ectopic pregnancy,rupture of corpus luteum,torsion of orarian cyst and acute pelvic infectious disease,which were confused with acute appendicitis and gastroenteritis.Conclusion:The key for successful rescue of gynecologic emergency treatment is the knowledge of the incharged doctors.Gynecologist have to be very careful when he or she checks medical records and does physical examinations.The diagnosis through ultrasonograpy is affected by the experiences of the doctors.