宫内妊娠合并宫外妊娠漏诊3例  

Three Cases of the Missed Diagnosis of Normal Uterine Pregnancy Combine Ectopic Pregnancy

作　　者：李春英 

机构地区：[1]吉林省延吉市肛肠医院 [2]延吉市公园社区卫生服务中心妇产科,吉林延吉133000

出　　处：《中国现代医生》2011年第30期119-120,共2页China Modern Doctor

摘　　要：目的分析宫内妊娠合并宫外妊娠漏诊原因,寻找避免漏诊或减少漏诊的有效方法。方法回顾性分析2000年1月～2010年12月收治于我院门诊的3例宫内合并宫外孕病例。结果 1例难免流产15d发现宫外孕;1例胎儿发育异常刮宫术10d发现宫外孕;1例宫外孕破裂后发现,3例无一早期确诊。结论对宫内妊娠合并宫外妊娠高度重视,仔细询问病史,认真查体,将临床表现与检查结合起来综合分析,可有效降低误诊率。症状变化多、不典型,很难确诊,人流术后必须坚持随访。Objective To analyze the reasons of missed diagnosis cases of normal uterine pregnancy combined with ectoplc pregnancy, and find effective ways of avoiding or reducing missed diagnosis. Methods Three cases of normal uterine pregnancy combined with ectopic pregnancy from Jan 2000 to Dec 2010 received in our hospital were analyzed retrospectively. Results There was inevitable abortion of 1 case 15 days after ectopic pregnancy, fetal abnormality uterine curetlage of l case 10 days after ectopic pregnancy and ectopic pregnancy ruptured of 1 case. None of 3 cases was diagnosed early. Conclusion Normal uterine pregnancy combined with ectopic pregnancy was taken seriously. Careful inquiry of case history, examination of the body and combination of the clinical symptoms with examination can reduce the misdiagnosis rate effectively. Postoperative follow-up was mainly used in which was hard to have a definite diagnosis for lack of specific and certain clinical symptoms.

关 键 词：宫内妊娠 合并 宫外妊娠 漏诊 

分 类 号：R714.22[医药卫生—妇产科学]