妊娠合并外科急腹症的诊治分析  

Analysis on Diagnosis and Therapy for Acute Abdominal Diseases during Pregnancy

作　　者：郑艳萍[1] 董汉华[2] 刘习凤[1] 

机构地区：[1]湖北省荆门市第一人民医院产科,448000 [2]华中科技大学同济医学院附属同济医院肝脏外科中心

出　　处：《中国全科医学》2007年第14期1167-1169,共3页Chinese General Practice

摘　　要：目的探讨妊娠合并外科急腹症的病因、诊断及治疗。方法回顾性分析2000-2005年收治的23例妊娠中晚期合并外科急腹症患者的临床资料。结果手术治疗15例,保守治疗8例。23例中先兆早产2例、早产3例、死胎1例、先兆流产2例,无孕产妇死亡。结论应加强对妊娠中晚期合并外科急腹症患者临床表现、实验室检查的认识,早期准确诊断。对妊娠期急性阑尾炎、胆囊结石嵌顿、胆源性胰腺炎应积极手术治疗;而对急性胆囊炎、急性胰腺炎、肠梗阻、消化性溃疡的治疗应个体化,合理的手术治疗不会增加流产、早产率及胎儿与孕妇的病死率。Objective To discuss the etiology, diagnosis and treatment of pregnant women with acute abdominal diseases. Methods Retrospective analysis was made in 23 cases of acute abdominal diseases in recent 5 years. Results 15 cases were treated with surgery, 8 cases received conservative therapy. There were 1 threatened premature labor, 2 premature labor, 1 fetal death and 2 threatened abortion in these 16 cases. No maternal death occured. Conclusion The clinical presentation and laboratory examination are important for early diagnosis of acute abdominal diseases in pregnant women. Surgical intervention should be taken for acute appendicitis, acute cholecystitis, gallstone stucking or gallstone pancreatitis, but patients with acute cholecystitis, acute pancreatitis, intestinal obstruction and peptic ulcer should be treated individually. Reasonable surgical intervention doesn＇t increase the frequency of abortion, premature labor, fetal and maternal mortality.

关 键 词：妊娠 急腹症 诊断 治疗 

分 类 号：R714.25[医药卫生—妇产科学]