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我们从1988年至1995年收治未婚女性妇科急症误诊为急性阑尾炎8例,均经手术证实,现就其错误原因报告分析如下。1 临床资料本组8例未婚女性中,最小年龄为14岁,最大25岁。其中右侧卵巢黄体破裂出血3例,右侧卵巢滤泡破裂出血1例,右侧卵巢囊肿破裂2例,右侧卵巢囊肿蒂扭转1例,右侧输卵管囊肿扭转1例,均以右下腹突然疼痛为首发症状,右下腹部腹膜刺激症状3例,有下腹部撕裂痛,伴下腹部下坠感者2例,腹部移动性浊音,发生失血性休克1例,有3例未问及月经史,有2例正常月经来潮,但经量少,有2例行肛诊检查,有慢性阑尾炎者1例。
We admitted from 1988 to 1995, unmarried women with gynecological emergency misdiagnosed as acute appendicitis in 8 cases, both confirmed by surgery, are now on the analysis of the causes of their mistakes are as follows. 1 Clinical data The group of 8 unmarried women, the minimum age of 14 years old, up to 25 years old. Of which 3 cases of right ovarian corpus luteum hemorrhage, right ovarian follicular hemorrhage in 1 case, right ovarian cyst rupture in 2 cases, right ovarian cyst torsion in 1 case, right tubal cyst torsion in 1 case, all right lower quadrant suddenly Pain as the first symptom, right lower quadrant peritoneal irritation in 3 cases, lower abdominal tear, accompanied by lower abdominal sensation in 2 cases, abdominal dullness, hemorrhagic shock occurred in 1 case, 3 cases did not ask the history of menstruation , There are 2 cases of normal menstrual cramps, but by the amount of less, there are 2 cases of anal examination, chronic appendicitis in 1 case.