| 摘要: |
| ［摘要］ 目的 总结妊娠合并外科急腹症的诊断、治疗经验与教训。方法 对我院1997-01～2007-12收治的51例妊娠合并外科急腹症进行回顾分析。结果 急性阑尾炎34例，占66.67%；急性胰腺炎2例，占3.92%；胆道蛔虫3例，占5.88%；急性胆囊炎5例，占9.80%；粘连性肠梗阻2例，占3.92%；泌尿系结石3例，占5.88%；腹部外伤2例，占3.92%。全组共行手术治疗32例，占62.75%。胎儿流产3例，死亡1例；孕妇死亡1例。结论 妊娠合并急腹症由于孕妇特殊的解剖生理改变, 使得某些急腹症缺乏典型的症状和体征, 从而延误诊断和治疗及危及母婴生命, 因而早期诊治具有十分重要的意义。 |
| 关键词: 妊娠 急腹症 诊断 |
| DOI：10.3969/j.issn.1674-3806.2009.03.021 |
| 分类号:R 714.25 |
| 基金项目: |
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| Experience in diagnosis and treatment of acute abdomen in pregnancy: A report of 51 cases |
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LUO Yong, SUN Jin
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Department of Gynaecology and Obstetrics, Zhicheng Harbor Hospital, Hubei 443311, China
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| Abstract: |
| ［Abstract］ Objective To summarize the experience of the diagnosis and treatment of acute abdomen in pregnancy.Methods Fifty-one cases of acute abdomen in pregnancy in our hospital during Jan.1997 to Dec.2007 were analyzed retrospectively.Results There were 34 cases(66.67%) of acute appendicitis, 2 cases(3.92%) of acute pancreatitis, 3 cases(5.88%) of billiary ascarids;5 cases (9.8%) of acute cholecystitis; 2 cases(3.92%) of adhesion intestinal obstruction; 3 cases(5.88%) of urolithiasis; 2 cases(3.92%) of abdominal trauma.Thirty-two cases were operated, accounting for 62.75%. In all cases, abortion were found in 3 cases, fetal death in 1 case and mother death in 1 case.Conclusion For special anatomical and physiological changes of pregnant women with acute abdominal diseases, diagnosis and treatment would be delayed and maternity and children′s lives would be threatened as results of the difficulty in detecting typical symptoms and signs. Therefore, it is significant to perform early diagnosis and treatment. |
| Key words: Pregnancy Acute abdomen Diagnosis |
