一例异位妊娠误诊病例分析  

Analysis of a Misdiagnosed Case of Ectopic Pregnancy

作　　者：雷于珑 张雯婷[1,2] Lei Yulong;Zhang Wenting(Fujian University of Traditional Chinese Medicine,Fuzhou,Fujian,350122;Xiamen Hospital of Traditional Chinese Medicine,Xiamen,Fujian,361000)

机构地区：[1]福建中医药大学,福建福州350122 [2]厦门市中医院,福建厦门361000

出　　处：《科学咨询》2021年第39期46-47,共2页

摘　　要：异位妊娠指受精卵在子宫体腔以外的部位着床、发育,俗称宫外孕,易致使患者出现腹腔出血、失血性休克等危重症状,甚则死亡,是妇产科最常见的危重急腹症之一,其中以输卵管妊娠为最多见[1]。在临床中根据其停经、腹痛、阴道流血等主要症状,以及盆腔压痛、附件区压痛、宫颈举痛等主要体征,结合β-HCG、B超检查情况,必要时行阴道后穹隆穿刺术,异位妊娠的诊断可明确。但在实际的临床工作中,异位妊娠的误诊率高居不下,根据不同的文献报道,可达3%-60%不等。现对我院1例异位妊娠误诊病例情况报道如下,并分析探讨误诊原因,以从中吸取经验教训。Ectopic pregnancy refers to the implantation and development of fertilized eggs outside the uterine body cavity,commonly known as ectopic pregnancy,which is easy to cause patients with critical symptoms such as abdominal bleeding,hemorrhagic shock and even death.It is one of the most common critical acute abdomen in obstetrics and Gynecology,especially tubal pregnancy[1].In clinical practice,according to the main symptoms such as menopause,abdominal pain and vaginal bleeding,as well as the main signs such as pelvic tenderness,accessory area tenderness and cervical lifting pain,combined withβ-HCG,B-ultrasound examination,if necessary,vaginal posterior fornix puncture,the diagnosis of ectopic pregnancy can be clear.However,in the actual clinical work,the misdiagnosis rate of ectopic pregnancy is high.According to different literature reports,it can range from 3%to 60%.A case of misdiagnosis of ectopic pregnancy in our hospital is reported as follows,and the causes of misdiagnosis are analyzed and discussed in order to draw lessons from it.

关 键 词：异位妊娠 输卵管妊娠 误诊 个案分析 

分 类 号：R71[医药卫生—妇产科学]