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现将我院病检及尸检证实的7例误诊误治的宫外孕病例报道如下。例1 患者14岁,学生。右下腹疼痛3个多小时,伴恶心、呕吐、大汗、晕厥。该患13岁月经初潮,周期3～4月,量不多,现月经来潮三天,近两月来饮食欠佳。体检:发育中等,面色苍白,烦躁不安,血压70/40mmHg,全腹压痛,腹肌紧张,右下腹有儿头大小肿块,固定、压痛明显。诊断:“急性阑尾炎”、“阑尾周围脓肿”、“中毒性休克”。未及手术即死亡。尸检:见腹腔积血约3000ml,右侧儿头大小血肿内为右侧输卵管,其壶腹部后方有一破口,管腔内有一完整胎囊、囊内有一个10cm 长之男性胎儿,孕龄
7 cases of misdiagnosis and misdiagnosis of ectopic pregnancy confirmed by pathology and autopsy in our hospital are reported below. Example 1 Patient 14 years old, student. Right lower quadrant pain more than 3 hours, with nausea, vomiting, sweating, syncope. The 13-year-old menarche, period 3 to 4 months, the amount is small, the menstrual cramps for three days, the past two months to poor diet. Physical examination: moderately developed, pale, irritable, blood pressure 70 / 40mmHg, full abdominal tenderness, abdominal tension, right lower quadrant size of child head and lumps, fixed, tenderness significantly. Diagnosis: “acute appendicitis”, “abscess around the appendix”, “toxic shock.” No surgery to death. Autopsy: see about 3000ml of hemoperitoneum, the right side of the head size hematoma is the right side of the fallopian tube, the ampulla of the rear there is a breach, the lumen has a complete fetal sac, the capsule has a 10cm long male fetus, gestational age