出血性输卵管炎二例误诊探析  

Misdiagnosis Analysis of 2 Cases of Hemorrhagic Salpingitis

作　　者：武长芬 王伟 

机构地区：[1]石家庄市妇幼保健院产一科,石家庄050000

出　　处：《临床误诊误治》2015年第11期27-29,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨出血性输卵管炎的临床特点及鉴别诊断要点,分析误诊原因并提出防范措施。方法对我院近期收治的2例曾误诊的出血性输卵管炎的临床资料进行回顾性分析。结果本文2例均以腹部疼痛入院,其中1例有人工流产史,均伴阴道少量流血、发热、恶心、呕吐、腹膜刺激征等。1例在我院误诊为输卵管妊娠行剖腹探查术,术后病理检查诊断为出血性输卵管炎,术后予抗感染治疗痊愈出院;1例外院误诊为卵巢黄体破裂,转入我院后结合患者病情及医技检查结果考虑出血性输卵管炎可能,予抗感染等保守治疗,痊愈出院。结论出血性输卵管炎临床少见,易误诊。临床医生接诊以腹痛为首发表现的女性患者时,应想到该病可能,及时行特异性检查,并结合病史及临床特点等综合仔细进行分析,以提高该病诊断水平。Objective To investigate the clinical characteristics and differential diagnosis of hemorrhagic salpingitis, analyze the cause of misdiagnosis and propose preventive measures. Methods The clinical data of two misdiagnosed cases of hemorrhagic salpingitis were retrospectively analyzed. Results The two patients were admitted for abdominal pain, including one case with a history of induced abortion accompanied with a small amount of vaginal bleeding, fever, nausea, vomiting, and peritoneal irritation. One case was misdiagnosed as tubal pregnancy in our hospital, and the exploratory laparotomy was performed. The pathological examination confirmed hemorrhagic salpingitis. The patients was cured after anti-infection treat-ment. The other case was misdiagnosed as ovarian rupture in other hospitals. The patient was transferred to our hospital and was suspected as having fallopian tube bleeding according to the patient＇s condition and examination results. The patient recov-ered after conservative treatment of anti infection. Conclusion In the clinical treatment, hemorrhagic salpingitis are rare and likely to cause wrong diagnosis. When clinicians make diagnosis for female patients with abdominal pain as the main initial manifestation, they should take hemorrhagic salpingitis into account. After special inspection, according to the patient＇s history and clinical presentation, doctors can make the correct diagnosis.

关 键 词：输卵管炎 误诊 妊娠 输卵管 

分 类 号：R711.33[医药卫生—妇产科学]