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我院1973年6月至1987年6月经手术证实为卵巢破裂出血而误诊为急性阑尾炎者10例。现将误诊原因分析如下。临床资料一、一般资料:年龄19～40岁,平均29.5岁。10例中7例已婚,3例未婚。二、临床表现:腹痛起于脐周或上腹后转移到右下腹疼痛5例,开始疼痛就位于右下腹者4例,全下腹疼痛1例。恶心8例,呕吐6例,肛门坠胀及便意感4例,腹泻1例。腹痛距末次月经最短8天,最长28天,平均16.5天。入院时体温在37.5～38.5℃之间6例,37.5℃以下4例,血压在90/60mmHg 以下3例。本组均有不同程度的右下腹压痛与反跳痛,全下
Our hospital from June 1973 to June 1987 confirmed by surgery for ovarian rupture and misdiagnosed as acute appendicitis in 10 cases. Misdiagnosis is now analyzed as follows. Clinical data First, the general information: age 19 to 40 years old, average 29.5 years old. Of the 10 cases, 7 were married and 3 were unmarried. Second, the clinical manifestations: abdominal pain in the umbilical or abdominal after the transfer to the right lower quadrant pain in 5 cases, began to pain in the right lower quadrant in 4 cases, the total abdominal pain in 1 case. Nausea in 8 cases, vomiting in 6 cases, anorexia and sense of defecation in 4 cases, 1 case of diarrhea. Abdominal pain from the last menstrual minimum 8 days, up to 28 days, an average of 16.5 days. Admission at body temperature 37.5 ~ 38.5 ℃ in 6 cases, 37.5 ℃ in 4 cases, blood pressure 90 / 60mmHg following 3 cases. This group has varying degrees of right lower quadrant tenderness and rebound tenderness, all under