妇科腹腔内出血病因分析及自体血回输的意义探讨  

Analysis on Etiopathogenisis of Gynaecological Intraabdominal Hemorrhage and Discussion on the Significance of Autologous Blood Transfusion

作　　者：伍慧英 刘德顺[2] 江庆霖[2] 

机构地区：[1]营山县计划生育指导站,四川营山638150 [2]成都市妇幼保健院,四川成都610041

出　　处：《西南军医》2007年第6期25-27,共3页Journal of Military Surgeon in Southwest China

摘　　要：目的分析妇科急性腹腔内出血的不同原因的临床特征以减少误诊及指导治疗,探讨自体血回输的安全性和有效性。方法对收治的352例妇科腹腔内出血患者进行回顾性分析。结果352例妇科腹腔内出血患者术后诊断为:异位妊娠262例,占74.43%,卵巢破裂74例,占21.02%,出血性输卵管炎12例,占3.41%,其他4例,占1.14%。异位妊娠、卵巢破裂和出血性输卵管炎的术前误诊率分别是4.96%,31.08%和66.67%。腹腔内出血在急诊手术中需要输血的患者188例,其中108例采用了自体血回输,无1例发生严重并发症。自体血回输中加或不加抗凝剂,治疗效果及副反应均没有差异。所有患者预后良好。结论妇科急性腹腔内出血的诊断并不困难,大多数能明确其原因。妇科腹腔内出血急诊手术中应用自体血回输治疗是安全、有效的。Objective To analyze the etoppathagenisis and clinical manifestation of gynaecological intraabdominal hemorrhage so as to decrease misdiagnosis and guide treatment; to discuss the safe and ＇efficacy of autologus blood transfusion. Methods A retrospective analysis was made to 352 cases with gynaecological intraabdominal hemorrhage. Results Post- operation diagnosis shewed： out The 352 cases, 262 eases with ectopie pregnancy （74.43%）, 74 eases with ovariorrhexis （21.02%）, 12 eases with hemorhagic salpingitis （3.41 % ） and 4 cases with other causes （ 1.14% ） ; pre - operation misdiagnosis rate of eaopie pregnancy, ovariorrhexis and hemorrhagic salpingitis was 4.96%, 31.08% and 66.7% respectively. 188 eases had blood transfusion in the emergent surgery, autologous blood transfusion was performed to 108 eases out of the 188, no serious complications occurred.. Them was no difference for curative effect and side effect whether decoagulant was added or not in autologous blood transfusion. All patients showed good prognosis. Conclusion It is not difficult to diagnose gynaecological intraabdominal hemorrhage and most cases have obvious causes; it is safe and effective to perform autologous blood transfusion in emergent surgery for gynaecologieal intraabdominal hemorrhage.

关 键 词：妇科 腹腔内出血 自体血回输 急诊手术 

分 类 号：R713[医药卫生—妇产科学]