妊娠合并急性阑尾炎的诊断与治疗

• 作 者: 王德智
• 机 构: 中国医科大学附属第三医院妇产科,
• 出 处: 医师进修杂志
• 发表日期: 1984年12期
• 关键词: 妊娠期阑尾炎 子宫增大 急性阑尾炎 孕妇 妊娠期 非孕期 母儿 妊娠中期 子宫 阑尾压痛点

据国内外文献报告,急性阑尾炎在孕妇中占0.28～0.78％,在所有阑尾炎中孕妇约占2％。妊娠期及产褥期均可发病,而以妊娠中期为多见。由于子宫增大,腹壁松弛,临床症状不如非孕期明显,增加诊断困难。因此,熟悉妊娠期阑尾炎的特点,做到早期诊断、及时治疗,是改善预后保证母儿健康的关键。

According to domestic and foreign literature reports, acute appendicitis accounted for 0.28 to 0.78% of pregnant women, pregnant women in all appendicitis accounted for about 2%. Pregnancy and puerperium can be onset, but more common in the second trimester. As the uterus increases, abdominal wall relaxation, clinical symptoms than non-pregnancy significantly increased the diagnosis difficult. Therefore, familiar with the characteristics of pregnancy, appendicitis, early diagnosis, timely treatment, is to improve the prognosis to ensure the health of the mother and child.