摘要
目的 探讨妊娠中晚期合并外科急腹症的发生率、病因、诊断及治疗。方法 回顾性分析 1990～ 2 0 0 2年收治的妊娠中晚期合并外科急腹症 2 1例。结果 妊娠合并外科急腹症的发病率为 1 4 0‰ (2 1/ 15 0 0 4 )。急性阑尾炎 8例 ,急性胆囊炎、胆石症 4例 ,急性胰腺炎 5例 ,急性阑尾炎合并急性胆囊炎、胆石症 1例 ,急性胆囊炎、胆石症合并急性胰腺炎 3例。手术治疗 15例 ,保守治疗 6例。 2 1例中先兆早产 1例、早产 3例、死胎 2例、先兆流产2例 ,没有孕产妇死亡。结论 应加强对妊娠中晚期合并外科急腹症病人临床表现、实验室检查的认识 ,早期准确诊断。对妊娠中晚期急性阑尾炎 ,应积极手术治疗 ;而对急性胆囊炎、急性胰腺炎的治疗应个体化 ,对于急性胆囊炎、胆囊结石嵌顿、胆源性胰腺炎应采取积极的手术治疗 ,合理的手术治疗不会增加流产。
Objective To discuss the morbidity, etiology, diagnosis, treatment of pregnant women with acute abdominal diseases in the last two trimesters.Methods Retrospective analysis was made in 21 cases of acute abdominal diseases in the last two trimesters in recent 12 years. Results The morbidity of acute abdominal diseases during the last two trimesters was 1 40‰,including 8 acute appendicitis,4 acute cholecystitis and cholelithiasis,5 acute pancreatitis,1 acute appendicitis complicated with cholecystitis and cholelithiasis,and 3 acute cholecystitis and cholelithiasis with acute pancreatitis.Surgical treatment was done in 15 patients,and the other 6 cases received conservative therapy.There were 1 threatened premature labor,3 premature labor,2 fetal death and 2 threatened abortion in these 21 cases.No maternal death occured.Conclusion The clinical presentation and laboratory examination of pregnant women with acute abdominal diseases are significant for early diagnosis.Surgical intervention should be done for acute appendicitis,but patients with acute cholecystitis and pancreatitis should be treated individually,while active surgery should be performed for cases of acute cholecystitis,gallstone stucking or gallstone pancreatitis.Reasonable surgical intervention will not increase the frequency of abortion,premature labor,fetal or maternal mortality.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2003年第9期534-536,共3页
Chinese Journal of Practical Gynecology and Obstetrics
