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目的探讨卵巢黄体破裂大出血病例诊断要点和治疗经验。方法回顾分析我科2008年至2011年间收治的5例卵巢黄体破裂致大出血患者的一般资料和诊断、治疗经验。结果 5例患者首诊即诊断为卵巢黄体破裂者仅2例,余3例首诊误诊。误诊病例经过进一步查体鉴别分析,确诊为卵巢黄体破裂。1例患者行保守治疗,4例行手术治疗,7～14d均痊愈出院。结论此病易造成误诊,需仔细鉴别分析,手术和保守治疗均能收到较好治疗效果。
Objective To investigate the diagnosis and treatment of cases of hemorrhage of corpus luteum rupture. Methods A retrospective analysis of our department from 2008 to 2011 admitted to 5 cases of ovarian luteinizing rupture caused by bleeding in patients with general information and diagnosis and treatment experience. Results The first diagnosis of 5 cases of patients diagnosed as corpus luteum rupture were only 2 cases, the first 3 cases of misdiagnosis. Misdiagnosed cases after further physical examination and identification analysis, diagnosed as corpus luteum rupture. One patient underwent conservative treatment and 4 patients underwent surgical treatment. All patients were cured and discharged from 7 to 14 days. Conclusion The disease is easy to cause misdiagnosis. Careful analysis and identification of the disease should be performed. Surgical and conservative treatment can receive better treatment results.