在诊断育龄妇女急性阑尾炎时,有多种妇产科疾病需要鉴别,最易造成误诊的有卵巢破裂和输卵管妊娠破裂出血。我院误诊9例,现报告如下。临床资料本组卵巢滤泡破裂、卵巢黄体破裂、输卵管妊娠破裂出血各3例。年龄17～42岁。误诊率占同期收治该类病人的26.5%,其中卵巢破裂出血误诊率为75%。卵巢破裂和输卵管妊娠破裂出血的临床表现均以下腹痛和右下腹痛起病。下腹痛起病者中,有半数疼痛逐渐转移至右下腹。大多 In the diagnosis of women of childbearing age acute appendicitis, there are a variety of obstetrics and gynecology diseases need to identify the most likely to cause misdiagnosed ovarian rupture and tubal pregnancy rupture bleeding. My courtyard misdiagnosed 9 cases, report as follows now. Clinical data of this group ovarian follicular rupture, corpus luteum rupture, tubal pregnancy rupture bleeding in 3 cases. Age 17 to 42 years old. Misdiagnosis rate accounted for 26.5% of the patients admitted to the same period, of which misdiagnosis rate of ovarian rupture was 75%. The clinical manifestations of ovarian rupture and tubal rupture bleeding are the following abdominal pain and right lower abdominal pain onset. Lower abdominal pain in patients, half of the pain gradually transferred to the right lower quadrant. most