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目的探讨妊娠期急腹症的分类以及妊娠期各种常见急腹症的临床特点和处理原则。方法回顾性分析近12年妇产科和外科收治的妊娠期急腹症402例的临床资料。结果妊娠期妇产科急腹症351例,无死亡;以异位妊娠破裂占绝大多数,共336例(95.7%)。妊娠期外科急腹症51例,死亡2例;以急性阑尾炎居多,共35例(68.6%)。结论异位妊娠破裂和急性阑尾炎为妊娠期两大急腹症,处理妊娠期急腹症时,不应因妊娠而改变手术指征,但需同时顾及孕妇和胎儿的安全。
Objective To investigate the classification of acute abdomen during pregnancy and the clinical features and treatment principles of various kinds of common acute abdomen during pregnancy. Methods The clinical data of 402 cases of acute abdomen during pregnancy in the past 12 years were retrospectively analyzed. Results 351 cases of obstetrics and gynecology acute abdomen during pregnancy, no death; to the vast majority of ectopic pregnancy rupture, a total of 336 cases (95.7%). 51 cases of surgical acute abdomen during pregnancy, 2 patients died; mostly acute appendicitis, a total of 35 cases (68.6%). Conclusions Ectopic pregnancy rupture and acute appendicitis are the two major acute abdomen disorders during pregnancy. When treating acute abdomen during pregnancy, the indications for surgery should not be changed due to pregnancy, but the safety of pregnant women and fetus should be taken into account.