临床误诊误治
臨床誤診誤治
림상오진오치
Clinical Misdiagnosis & Mistherapy
2015年
11期
27-29
,共3页
输卵管炎%误诊%妊娠,输卵管
輸卵管炎%誤診%妊娠,輸卵管
수란관염%오진%임신,수란관
Salpingitis%Misdiagnosis%Pregnancy,tubal
目的：探讨出血性输卵管炎的临床特点及鉴别诊断要点，分析误诊原因并提出防范措施。方法对我院近期收治的2例曾误诊的出血性输卵管炎的临床资料进行回顾性分析。结果本文2例均以腹部疼痛入院，其中1例有人工流产史，均伴阴道少量流血、发热、恶心、呕吐、腹膜刺激征等。1例在我院误诊为输卵管妊娠行剖腹探查术，术后病理检查诊断为出血性输卵管炎，术后予抗感染治疗痊愈出院；1例外院误诊为卵巢黄体破裂，转入我院后结合患者病情及医技检查结果考虑出血性输卵管炎可能，予抗感染等保守治疗，痊愈出院。结论出血性输卵管炎临床少见，易误诊。临床医生接诊以腹痛为首发表现的女性患者时，应想到该病可能，及时行特异性检查，并结合病史及临床特点等综合仔细进行分析，以提高该病诊断水平。
目的：探討齣血性輸卵管炎的臨床特點及鑒彆診斷要點，分析誤診原因併提齣防範措施。方法對我院近期收治的2例曾誤診的齣血性輸卵管炎的臨床資料進行迴顧性分析。結果本文2例均以腹部疼痛入院，其中1例有人工流產史，均伴陰道少量流血、髮熱、噁心、嘔吐、腹膜刺激徵等。1例在我院誤診為輸卵管妊娠行剖腹探查術，術後病理檢查診斷為齣血性輸卵管炎，術後予抗感染治療痊愈齣院；1例外院誤診為卵巢黃體破裂，轉入我院後結閤患者病情及醫技檢查結果攷慮齣血性輸卵管炎可能，予抗感染等保守治療，痊愈齣院。結論齣血性輸卵管炎臨床少見，易誤診。臨床醫生接診以腹痛為首髮錶現的女性患者時，應想到該病可能，及時行特異性檢查，併結閤病史及臨床特點等綜閤仔細進行分析，以提高該病診斷水平。
목적：탐토출혈성수란관염적림상특점급감별진단요점，분석오진원인병제출방범조시。방법대아원근기수치적2례증오진적출혈성수란관염적림상자료진행회고성분석。결과본문2례균이복부동통입원，기중1례유인공유산사，균반음도소량류혈、발열、악심、구토、복막자격정등。1례재아원오진위수란관임신행부복탐사술，술후병리검사진단위출혈성수란관염，술후여항감염치료전유출원；1예외원오진위란소황체파렬，전입아원후결합환자병정급의기검사결과고필출혈성수란관염가능，여항감염등보수치료，전유출원。결론출혈성수란관염림상소견，역오진。림상의생접진이복통위수발표현적녀성환자시，응상도해병가능，급시행특이성검사，병결합병사급림상특점등종합자세진행분석，이제고해병진단수평。
Objective To investigate the clinical characteristics and differential diagnosis of hemorrhagic salpingitis, analyze the cause of misdiagnosis and propose preventive measures. Methods The clinical data of two misdiagnosed cases of hemorrhagic salpingitis were retrospectively analyzed. Results The two patients were admitted for abdominal pain, including one case with a history of induced abortion accompanied with a small amount of vaginal bleeding, fever, nausea, vomiting, and peritoneal irritation. One case was misdiagnosed as tubal pregnancy in our hospital, and the exploratory laparotomy was performed. The pathological examination confirmed hemorrhagic salpingitis. The patients was cured after anti-infection treat-ment. The other case was misdiagnosed as ovarian rupture in other hospitals. The patient was transferred to our hospital and was suspected as having fallopian tube bleeding according to the patient's condition and examination results. The patient recov-ered after conservative treatment of anti infection. Conclusion In the clinical treatment, hemorrhagic salpingitis are rare and likely to cause wrong diagnosis. When clinicians make diagnosis for female patients with abdominal pain as the main initial manifestation, they should take hemorrhagic salpingitis into account. After special inspection, according to the patient's history and clinical presentation, doctors can make the correct diagnosis.
