妇科急腹症1684例临床分析.pdfVIP

2 8 Journal of Shaanx i College of T radi ional Chinese M edicine Vol . 27. No. 3. 2004. 5 1684 ( 湖南省岳阳市第一人民医院, 湖南岳阳414000) : : 提高临床医师对妇科急腹症的诊断和 疗水平: 对我院1986 年12 月至2002 年 12 月以妇科急腹症就诊的 1684 例患者临床资料进行回顾性分析: 1684 例病人包括 12 个病种, 分为四大类: 感染性疾病( 45. 7%) , 腹腔内出血性疾病( 44 . 5% ) , 肿瘤并发症( 5. 3% ) , 非妇科疾病( 4. 5%) 妇科疾病中保守性 疗90 8 例, 占55. 2% , 多为感染性疾病; 手 术 疗72 1 例, 占44. 8% , 多为内出血性疾病和肿瘤并发症, 其中腹腔镜手术34 例: 详细病史询问及体格检查是诊断妇科急腹症的重要手段; H CG 检查, 后穹隆穿刺及腹腔镜检 查可明显提高确诊率; 腹腔镜手术较传统手术有较多的优点, 可扩大腹腔镜手术适应症和提 高手术率 : 妇科急腹症; 诊断; 疗 : R7 11 : B : 1002- 168X( 2004) 03- 002 8- 0 3 Analysis of 1684 Cases of gynecologic emergencies Xia Weiyu ( T he Firs Peoples Hospi al of Y uey ang , H unan 414000, China) Abstract: Obj ectiv e : T o improve he s andard of diagnosing and rea ing g ynecologic abdom inal emergencies. M ethods : We analyzed re rospec ively 1684 cases of gy necologic emerg encies in our hospi al from Dec. 19 86 o Dec. 2002. Res ul ts : T here w ere 12 diseases in hese 1684 cases. T he diseases can be div ided in o 4 kinds of diseases. T hey included infec ion diseases, in ernal bleeding diseases, umours and heir complica ions and non - g ynecologic diseases. A mong gynecolog ic diseases 908 cases w ere rea ed w i h non - opera ional me hods , : , , , , , , , , , ; ; , 72. 17% , , 91.