Burlet G, Judlin P
Service de Gynécologie-Obstétrique C, Maternité régionale de Nancy.
Rev Fr Gynecol Obstet. 1994 Nov;89(11):537-42.
Acute pelvic pain is a common syndrome in women and is an emergency. Management requires rapid diagnostic evaluation to enable immediate treatment. Blood tests (beta-HCG assay, etc.), bacteriological studies and pelvic ultrasonography may be required. Gynecological problems are the commonest etiology: ectopic pregnancy, miscarriage, PID. The possibility nevertheless remains of appendicitis, sigmoid diverticulitis, UTI or renal colic, all of which are medical or surgical emergencies.
急性盆腔疼痛是女性常见的综合征,属于急症。其处理需要进行快速诊断评估以便立即治疗。可能需要进行血液检查(β-人绒毛膜促性腺激素检测等)、细菌学研究及盆腔超声检查。妇科问题是最常见的病因:异位妊娠、流产、盆腔炎。不过仍有可能是阑尾炎、乙状结肠憩室炎、尿路感染或肾绞痛,所有这些都是内科或外科急症。