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目的探讨妊娠期急腹症的临床特点、诊治方法及对母婴的影响。方法对2007年3月至2012年10月收治38例妊娠合并急腹症患者的临床资料进行回顾性分析。年龄22～37岁,平均30岁。发病于早期妊娠21例(55.2%),中期妊娠12例(31.6%),晚期妊娠5例(13.2%)。结果妊娠期急腹症38例全部治愈。其中2例胎盘早剥,误诊为先兆流产,在观察治疗过程中,经一步鉴别确诊,给予手术治疗;1例胆石症误诊为妊娠剧吐,治疗无效,进一步鉴别确诊后手术治愈;1例胎死宫内。无1例孕产妇死亡。结论对妊娠期急腹症发生时临床医师要高度重视,全面认真的体格检查,仔细的鉴别,及时做出早期诊断,可避免误诊误治,使母婴得到良好的结局
Objective To investigate the clinical features, diagnosis and treatment of acute abdomen during pregnancy and its effects on mothers and infants. Methods The clinical data of 38 patients with pregnancy complicated with acute abdomen admitted from March 2007 to October 2012 were analyzed retrospectively. Age 22 ~ 37 years old, average 30 years old. The incidence of early pregnancy in 21 cases (55.2%), 12 cases of midterm pregnancy (31.6%), 5 cases of late pregnancy (13.2%). Results 38 cases of acute abdomen during pregnancy were all cured. Among them, 2 cases of placental abruption, misdiagnosed as threatened abortion, during the observation and treatment, confirmed by one-step differential diagnosis, given surgical treatment; 1 case of cholelithiasis misdiagnosed as hyperemesistrum, ineffective treatment, to further identify the diagnosis after surgery; 1 case of fetal Dead Palace. No one died of maternal death. Conclusions Clinicians should attach great importance to the occurrence of acute abdomen during pregnancy. Comprehensive and careful physical examinations, careful identification and early diagnosis in time can avoid misdiagnosis and mistreatment and achieve good outcomes for both mother and child