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我院自1985年5月至1991年5月,曾将12例陈旧性宫外孕破裂误诊为阑尾炎,现将误诊原因作一浅析。临床资料一、一般资料年龄在24～38岁。12例中行双侧输卵管结扎者8例,双侧输卵管粘堵1例,用宫内节育环者2例。二、临床表现及术中所见腹痛始于右下腹部10例,转移性右下腹痛2例。12例中均伴有轻度的消化道症状,其中有肛门轻度坠胀或便意感4例;有停经史者5例;阴道不规则出血(无明显闭经史)4例。入院时体温在37.5～38.3℃。血压偏低2例,在12.0/8.0kPa(90/60毫米汞柱)。本组均有右下腹压痛,其中伴有不同程度的反跳痛6例,轻度肌紧张3例,血红蛋白90～95克/升2例,其余在100克/
Our hospital from May 1985 to May 1991, had 12 cases of old ectopic pregnancy misdiagnosed as appendicitis, misdiagnosis of the reasons for a brief analysis. Clinical data First, the general information Age at 24 to 38 years old. Twelve cases of bilateral tubal ligation in 8 cases, bilateral tubal sticking in 1 case, IUD in 2 cases. Second, the clinical manifestations and intraoperative abdominal pain began in the lower right abdomen in 10 cases, 2 cases of metastatic right lower abdominal pain. 12 cases were associated with mild gastrointestinal symptoms, including anal mild bulge or sense of taste in 4 cases; 5 cases of menopause; irregular vaginal bleeding (no history of amenorrhea) in 4 cases. Body temperature at admission 37.5 ~ 38.3 ℃. Low blood pressure in 2 cases, at 12.0 / 8.0kPa (90/60 mmHg). The group had right lower quadrant tenderness, accompanied by varying degrees of rebound pain in 6 cases, 3 cases of mild muscle tension, hemoglobin 90 ~ 95 g / l in 2 cases, the rest in 100 g /