摘要
目的探讨和总结妊娠合并急腹症的临床经验。方法回顾分析我院1998～2005年收住的130例妊娠合并急腹症的诊断和治疗。结果130例妊娠合并急腹症患者．平均年龄27．5岁；其中阑尾炎52例；卵巢肿瘤蒂扭转28例；急性胰腺炎20例；急性胆囊炎16例；肠梗阻8例；泌尿系结石4例；子宫破裂2例。所有病例无孕产妇死亡．4例发生了流产或胎儿死亡。结论尽管妊娠合并急腹症的诊断有一定的难度．但熟练掌握妊娠期生理变化，内外科共同参与．提高妊娠急腹症的鉴别诊断认识等均有助于作出正确诊断。对以阑尾炎和卵巢肿瘤蒂扭转等疾病以手术治疗为主；其它急腹症则以内科保守治疗为主。
Objective To explore the diagnosis and treatment of pregnant women complicated with acute abdominal pain. Methods Retrospective analysis of the clinical data of 130 pregnant women with acute abdominal pain in our hospital from 1998 to 2005 was performed. Results The average age was 27.5 years. There were 52 cases of acute appendicitis, 28 of torsion of ovarian mass,20 of acute pancreatitis, 16 of acute cholecystitis, 8 of intestinal obstruction, 4 of urinary lithiasis and 2 of rupture of uterine. All pregnant women were no dead except of 4 cases of abortion or fetal death. Conclusion It is important for skillful mastery the physiological changes,participation combied with physician and surgical docter to make diagnosis corectely and identified diagnosis. The principle of acute appendicitis and torsion of ovarian mass must be operated as soon as possible. The others should be medicine by physician.
出处
《江西医学院学报》
2006年第3期124-126,共3页
Acta Academiae Medicinae Jiangxi
关键词
妊娠
急腹症
治疗
pregnancy
acute abdominal pain
treatment
