异位妊娠误诊48例分析

目的探讨异位妊娠的误诊原因，提高早期诊断率，避免危及生命的并发症。方法对48例误诊病例进行回顾性分析。结果48例误诊为宫内妊娠28例，占58．3％，其中早期妊娠16例；先兆流产12例；急性附件炎7例；急性阑尾炎6例；急性胃肠炎2例；卵巢黄体破裂3例；功能失调性子宫出血2例。结论异位妊娠临床表现复杂，容易误诊，临床工作者必须加强业务素质，认真追问病史，仔细查体，降低误诊率。

Misdiagnosis of Ectopic Pregnancy:A Clinical Analysis of 48 Cases

Objective To investigate the causes of ectopic pregnancy misdiagnosis.Thus we can increase the rate of early diagnosis and avoid complications that could threaten life.Methods 48 cases which were misdiagnesed were retrospectively analyzed.Results Of the 48 cases,28 cases were misdiagnosed as intrauterine pregnancy,accounting for 58.3%,of which 16 cases were early pregnancy;12 cases were threatened abortion;7 cases were acute inflammation annex;6 cases were acute appendicitis;2 cases were acute gastroenteritis;3 cases were corpus luteum rupture;and 2 cases were dysfunctional uterine bleeding.Conclusion The complicated clinical manifestation of ectopic pregnancy makes misdiagnosis easy to happen.In order to reduce the rate of misdiagnosis,clinical practitioners should strengthen the professional quality,make a detailed inquiry on the history of illness and inspect carefully.