异位妊娠破裂出血误诊为急性胃肠炎的原因分析  

Analysis of the Cause of Misdiagnosis of Ectopic Pregnancy Bleeding as Acute Gastroenteritis

作　　者：汪莉 WANG Li(Mindong District People＇s Hospital,Urumqi,Xinjiang,831400 China)

机构地区：[1]新疆乌鲁木齐市米东区人民医院,新疆乌鲁木齐831400

出　　处：《系统医学》2018年第8期134-136,共3页Systems Medicine

摘　　要：目的探究异位妊娠破裂出血误诊为急性胃肠炎的原因,为临床诊断提供依据。方法回顾性分析2014年6月—2017年12月该院36例异位妊娠破裂出血患者,分析误诊为急性胃肠炎的原因。结果其中5例异位妊娠破裂出血被误诊为急性胃肠炎患者,2例因首次接诊的医务人员对异位妊娠认知程度不够,临床思维过于定势;1例患者主诉不明或故意隐瞒性生活史;1例因医务人员对患者实施体格检查时不详细;1例患者做相关辅助检查项目过少。结论异位妊娠破裂出血的临床表现较复杂,且部分患者常伴有胃肠道症状,因此,为减少误诊,临床医师应仔细询问患者病情,结合相关检查对其实施有效诊断。Objective This paper tries to explore the causes of ectopic pregnancy hemorrhage misdiagnosed as acute gastroenteritis and to provide basis for clinical diagnosis. Methods 36 patients with ectopic pregnancy rupture in this hospital from June 2014 to December 2017 were retrospectively analyzed, and the reasons for misdiagnosis as acute gastroenteritis were analyzed. Results 5 cases of ectopic pregnancy bleeding were misdiagnosed as patients with acute gastroenteritis. 2 cases of first-time medical staff had insufficient awareness of ectopic pregnancy and clinical thinking was over-identified; 1 patient complained of unknown or intentional concealment life history; 1 case was not detailed when medical staff performed physical examination; 1 case had too few related auxiliary examination items. Conclusion The clinical manifestations of bleeding from ectopic pregnancy are complicated, and some patients often have gastrointestinal symptoms. Therefore, in order to reduce misdiagnosis, clinicians should carefully inquire about the patient’s condition and carry out effective diagnosis in combination with relevant examinations.

关 键 词：异位妊娠 破裂出血 误诊 急性胃肠炎 

分 类 号：R714[医药卫生—妇产科学]