CAJ | 학술논문

目的总结盆腔妇科病误诊阑尾炎的原因,提出减少误诊的方法.方法对12例误诊为急性化脓性阑尾炎的盆腔妇科病患者临床资料进行分析,总结误诊的经验教训.结果急性化脓性盆腔炎6例,右侧输卵管炎并积脓3例、卵巢囊肿并感染3例.结论临床经验不足、妇科相关病史及检查的疏漏或误导、过分依赖辅助检查、未请相关科室会诊是妇科盆腔炎误诊的主要原因.
목적 총결분강부과병오진란미염적원인,제출감소오진적방법.방법 대12례오진위급성화농성란미염적분강부과병환자림상자료진행분석,총결오진적경험교훈.결과 급성화농성분강염6례,우측수란관염병적농3례、란소낭종병감염3례.결론 림상경험불족、부과상관병사급검사적소루혹오도、과분의뢰보조검사、미청상관과실회진시부과분강염오진적주요원인.
Objective To explore the reasons of gynecological infections acute abdomen misdiagnosed as acute suppurative appendicitis and put forward methods to reduce the misdiagnosis.Methods To review and analyze the clinical data of 12 patients with gynecological infectious who had been misdiagnosed as acute suppurative appendicitis.Results The acute pyogenic pelvic inflammatory disease in 6 cases,right salpingitis and empyema in 3 cases,ovarian cysts in 3 cases.Conclusion The lack of clinical experience and examination,omissions and misleading relevant gynecological history,over-reliance on secondary inspections,and lack of consultation are the main reasons of gynecological infectious diseases misdiagnosis.