临床误诊误治2011，Vol.24Issue(2)：34-36,3.
异位妊娠误诊为急性胃肠炎15例分析
Analysis of Ectopic Pregnancy Misdiagnosed as Acute Gastroenteritis (15 Cases)
饶贵云 1谭艳丽2
作者信息
- 1. 543002,广西,梧州,梧州市红十字会医院急诊科
- 2. 543002,广西,梧州,梧州市红十字会医院妇产科
- 折叠
摘要
Abstract
Objective To investigate the cause of ectopic pregnancy misdiagnosed as acute gastroenteritis, and to propose preventive measures. Methods The clinical data of 15 cases of ectopic pregnancy misdiagnosed in our hospital was retrospectively analyzed. Results All patients had the initial symptom of abdominal pain. 9 cases was observed as acute gastroenteritis at primary period, during which hemorrhagic shock appeared after treatment, so ectopic pregnancy was suspected and surgery was performed and then it was later confirmed as ruptured ectopic pregnancy with a blood loss of 2000 ～30 000 ml; 1 case was treated as acute gastroenteritis for 3 times in the local hospital, but died from excessive bleeding in our hospital. Urinary HCG of the patient was positive, intraperitoneal blood was drawn and confirmed as ruptured entopic pregnancy and hemorrhage shock; 5 cases was treated as acute gastroenteritis 2 or 3 times without remission, diagnosed as tubal pregnancy through gynecological consultation after abdominal B-ultrasound showed adnexal mass and abdominal effusion. The blood loss was 1000 ～ 1500 ml in the surgery. 1 patient died, and 14 patients were cured and discharged. Conclusion Ectopic pregnancy may be easily misdiagnosed because of its complicated clinical manifestations, and more attention should be paid to history and differential diagnosis to avoid misdiagnosis.关键词
妊娠,异位/误诊/胃肠炎Key words
Pregnancy/ ectopic/ Misdiagnosis/ Gastroenteritis分类
医药卫生引用本文复制引用
饶贵云,谭艳丽..异位妊娠误诊为急性胃肠炎15例分析[J].临床误诊误治,2011,24(2):34-36,3.
