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目的回顾性分析异位妊娠的原因,为临床诊断提供参考。方法对18例既往临床误诊病例进行分析。结果 18例中13例由外院转入,误诊情况:误诊为阑尾炎8例、早孕4例、胃肠炎3例、急性盆腔炎2例、带节育器月经不规则1例,手术中见输卵管流产型4例,输卵管破裂14例,无术后并发症。结论询问病史不详细、对人流患者术前未做出正确的诊断、没有做好鉴别诊断是误诊的主要原因。
Objective To retrospectively analyze the causes of ectopic pregnancy and provide reference for clinical diagnosis. Methods 18 cases of past clinical misdiagnosis were analyzed. Results Of the 18 cases, 13 cases were transferred from the outer hospital. Misdiagnosis: 8 cases were misdiagnosed as appendicitis, 4 cases of early pregnancy, 3 cases of gastroenteritis, 2 cases of acute pelvic inflammatory disease, 1 case of irregular menstruation with IUD, and tubal abortion Type 4 cases, tubal rupture in 14 cases, no postoperative complications. Conclusion Inquiring about the history is not detailed, it is not the correct diagnosis to abortion patients before operation, and the main cause of misdiagnosis is the lack of differential diagnosis.