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目的:探讨妊娠合并外科急腹症的诊断及治疗。方法:回顾性分析1998年1月~2008年1月收治的妊娠合并外科急腹症149例。结果:急性阑尾炎88例,急性胆囊炎29例,急性胰腺炎15例,泌尿系结石12例,肠梗阻5例。手术治疗89例,保守治疗48例。结论:应加强对妊娠合并急腹症病人临床表现、实验室检查的认识,力争早期准确的诊断。妊娠合并急性阑尾炎一旦确诊应积极手术治疗,急性胆囊炎、急性胰腺炎、泌尿系结石和肠梗阻的治疗则应个体化治疗。
Objective: To investigate the diagnosis and treatment of acute abdomen in pregnancy. Methods: A total of 149 pregnant women with acute abdomen during pregnancy were analyzed retrospectively from January 1998 to January 2008. Results: There were 88 cases of acute appendicitis, 29 cases of acute cholecystitis, 15 cases of acute pancreatitis, 12 cases of urinary calculi and 5 cases of intestinal obstruction. 89 cases of surgical treatment, conservative treatment of 48 cases. Conclusion: It is necessary to strengthen the understanding of clinical manifestations and laboratory tests in patients with acute abdomen during pregnancy, and strive to make early and accurate diagnosis. Once diagnosed with acute appendicitis should be actively surgical treatment of pregnancy, acute cholecystitis, acute pancreatitis, urinary stones and intestinal obstruction treatment should be individualized treatment.