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目的对异位妊娠误诊的原因进行分析,使临床医生正视误诊,吸取教训,善于总结,提高正确诊断率,把误诊率降到最低。方法采用回顾性分析方法对25例误诊异位妊娠患者的误诊原因进行分析。结果对异位妊娠误诊发生和原因有询问病史不详细,异位妊娠病史、症状、体征复杂多变且不典型,对带节育器、绝育手术后、口服避孕药发生异位妊娠的认识不足,辅助检查的不确定性,医务人员重视不够、思维方法不当,医务人员专业知识缺乏。结论了解异位妊娠的误诊原因,吸取教训,高度重视,认真预防是减少误诊发生率的关键。
Objective To analyze the causes of misdiagnosis of ectopic pregnancy so that clinicians face up to misdiagnosis, learn lessons, be good at summing up, raise the correct diagnosis rate, and minimize the misdiagnosis rate. Methods Retrospective analysis of 25 cases of misdiagnosis ectopic pregnancy misdiagnosis of patients were analyzed. Results The history of misdiagnosis and etiology of ectopic pregnancy are not detailed, history of ectopic pregnancy, complicated and changeable symptoms and signs, lack of understanding of ectopic pregnancy after oral contraceptives with IUDs and sterilization, The uncertainty of auxiliary examinations, inadequate emphasis on medical staff, improper ways of thinking, and lack of medical staff expertise. Conclusions Understanding the causes of misdiagnosis of ectopic pregnancy, taking lessons, attaching great importance to and seriously preventing is the key to reduce the incidence of misdiagnosis.