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急性阑尾炎的多种症状应当与子宫外孕的多种症状加以对此(在鉴别诊断时),正因为这两种疾病的症状的多样性,才使我们在诊断时感到非常困难。同时,当一位妇女患急性阑尾炎时我们很少考虑到这可能是子宫外孕,但相反的,把子宫外孕误诊为急性阑尾炎的现象却是经常可以遇到的。这种情况要求外科医师必须熟知子宫外孕的各种临床表现。根据列宁格勒第一医学院普通外科医院的材料,在1946—1954年间,有3966名患者因诊断为急性阑尾炎而行阑尾切除术。共中有35例(0.9%)在手术时发现为子宫外孕。我们只对其中25名患者的病历进行了研究。诊断为急
The multiple symptoms of acute appendicitis should be matched by the multiple symptoms of ectopic pregnancy (at the time of differential diagnosis) precisely because of the diversity of symptoms of these two diseases that make it very difficult for us to diagnose. At the same time, when a woman has acute appendicitis we rarely consider that this may be an ectopic pregnancy, but conversely the misdiagnosis of ectopic pregnancy as acute appendicitis is often encountered. This situation requires that surgeons be familiar with the clinical manifestations of ectopic pregnancy. According to the General Surgery Hospital of Leningrad First Medical College, 3966 patients underwent appendectomy for the diagnosis of acute appendicitis between 1946 and 1954. A total of 35 cases (0.9%) were found to be ectopic during surgery. We only studied the medical records of 25 of these patients. Diagnosed as urgent