摘要
目的：分析妊娠合并黄体破裂的临床特点及其与异位妊娠的鉴别要点，以减少误诊。方法回顾性分析8例妊娠合并黄体破裂患者的临床资料。结果8例患者均有停经史及下腹痛，6例行阴道后穹隆穿刺有不凝固血液，诊断为腹腔内出血；急诊手术治疗5例，3例确诊为妊娠合并黄体破裂因病情相对稳定行保守治疗。结论妊娠合并黄体破裂易误诊，当病情平稳时应动态监测血β-人绒毛膜促性腺激素及超声明确诊断，以减少误诊、误治。
Objective To analyze the clinical features of early pregnancy combined with corpus rupture of uterus and the differential diagnosis of ectopic pregnancy.Methods The clinical data of 8 cases of early pregnancy complicated with corpus rupture were retrospectively analyzed.Results 8 cases were postmenopausal patients with history of abdominal pain,6 cases in the posterior vaginal fornix puncture was not blood coagulation,diagnosis of intra-peritoneal hemorrhage,emergency surgical treatment in 5 cases,3 cases were diagnosed as intrauterine pregnancy with corpus luteum rupture due to relatively stable disease received conservative treatment.Conclusion The intrauterine pregnancy combined with corpus rupture is easy to be misdiagnosed.The diagnosis of blood beta -HCG and ultra-sound should be dynamically monitored when the condition is stable,so as to reduce the misdiagnosis.
出处
《中国基层医药》
CAS
2016年第22期3488-3491,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
妊娠
黄体破裂
妊娠
异位
诊断
鉴别
Pregnancy
Ovarian corpus luteum rupture
Pregnancy,ectopic
Diagnosis,differential
