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目的:探讨妊娠合并外科急腹症的特点、诊断与处理。方法:回顾性分析海南省农垦三亚医院近8年收治的88例妊娠合并急腹症患者的临床资料。结果:88例妊娠合并急腹症患者中,急性阑尾炎58例,占65.9%;黄体囊肿破裂6例,占6.8%;急性胆囊炎5例,占5.7%;卵巢巧克力囊肿破裂3例,占3.4%;子宫肌瘤变性10例,占11.4%;外伤6例,占6.8%。手术治疗65例,早产12例,流产3例,误诊6例,误诊率6.8%。结论:妊娠合并外科急腹症与急性阑尾炎有相似的临床表现,临床医务人员应加强对妊娠合并外科急腹症的认识,提高诊断率,减少误诊。
Objective: To investigate the characteristics, diagnosis and treatment of acute abdomen during pregnancy. Methods: The clinical data of 88 cases of pregnancy complicated with acute abdomen admitted in Sanya Hospital of Hainan Province during the recent 8 years were retrospectively analyzed. Results: 88 cases of acute appendicitis in pregnancy with acute appendicitis in 58 cases, accounting for 65.9%; luteal cyst rupture in 6 cases, accounting for 6.8%; acute cholecystitis in 5 cases, accounting for 5.7%; ovarian chocolate cyst rupture in 3 cases, accounting for 3.4 %; 10 cases of uterine fibroids degeneration, accounting for 11.4%; trauma in 6 cases, accounting for 6.8%. Surgical treatment of 65 cases, 12 cases of preterm birth, abortion in 3 cases, 6 cases of misdiagnosis, misdiagnosis rate of 6.8%. Conclusion: There is a similar clinical manifestation in acute abdomen pregnancy and acute appendicitis in pregnancy. Clinicians should strengthen the understanding of surgical acute abdomen pregnancy and improve diagnosis rate and reduce misdiagnosis.