女性急腹症误诊为阑尾炎87例临床分析  

CLINICAL ANALYSIS ON 87 CASES OF FEMALE ACUTE ABDOMEN MISDIAGNOSED AS APPENDICITIS

作　　者：金皖玲 赵志刚[2] 

机构地区：[1]上海市长宁区妇幼保健院妇产科,上海200052 [2]安徽省马鞍山市人民医院普外科

出　　处：《九江医学》2000年第3期139-140,共2页Jiujiang Medical Journal

摘　　要：目的 :探讨女性急腹症的误诊原因。方法 :对我院 1983～ 1996年间收治的 87例女性急腹症误诊为阑尾炎的临床资料进行回顾性分析。结果 :妇科急腹症误诊 6 7 8% (5 9 87) ,内科急腹症误诊 18 4% (16 87) ,外科急腹症误诊 13 8% (12 87)。全部患者治愈 ,手术后切口感染 1例 ,泌尿系感染 1例 ,术后并发症发生率 2 3 %。结论 :详细询问病史 ,必要细致的检查 ,及时地请妇科会诊进行综合判断是减少女性急腹症误诊的关键。OBJECTIVE:To investigate the misdiagnosis causes of female acute abdomen. METHODS:Clinical data of 87 cases of female acute abdomen misdiagnosed as appendicitis from 1983 to 1996 in our hospital was andyzed restrospectivety.RESULTS:Misdiagnosis vate of acute abdomen in obstetrics and gynecology was 67.8%(59/87), 18.4%(16/87) in internal medicine and 13.8%(12/87)in surgery. All patients were cured. After operation, One was found incisional infection and one urinary tract infection with a occurance rate of post-operative complication 2.3%.CONCLUSION:The key of a decrease in misdiagnosis of female acute abdomen was detailed history-taking,careful examination and consultion to gynecologist timely.

关 键 词：女性 急腹症 误诊 阑尾炎 

分 类 号：R656.104[医药卫生—急诊医学]