妊娠合并急腹症的诊治  

Management of acute abdomen in pregnancy

作　　者：雷琼[1] 刘国成[1] Lei Qiong;Liu Guocheng(Department of Obstetrics,Women and Children's Hospital of Guangdong Province,Guangzhou 511400,China)

机构地区：[1]广东省妇幼保健院产科,广州511400

出　　处：《中国医师杂志》2020年第7期967-971,976,共6页Journal of Chinese Physician

摘　　要：妊娠期女性常常出现急性腹痛,这可以由产科因素以及妊娠以外的原因引起.因为妊娠期的解剖和生理变化,常导致临床表现的改变;另外,由于担心对胎儿造成伤害,急性腹痛的孕妇往往不愿意使用某些检查,再加之许多干预手段应用受限,诊断面临困难;诊断不明带来的处置延误又会对母亲和胎儿造成不良后果.这些对临床医师的工作提出了严峻挑战.因此,本文试图回顾和讨论妊娠合并急腹症的各种病因,以及目前的诊断和治疗方法,以期制定一个及时诊断和处理妊娠合并急腹症的策略.Acute abdomen in pregnancy is not rare and clinical management usually is a dilemma.Acute abdominal pain in pregnancy can occur due to obstetric factors as well for reasons that are unrelated to pregnancy.The diagnostic approach of acute abdomen during pregnancy can be tricky owing to the altered clinical presentations brought about by the anatomical and physiological changes of gestation along with the reluctance to use certain radiological investigations for fear of harming the fetus.Delay in diagnosis and treatment can lead to adverse outcomes for both the mother and fetus.In this article,we attempt to review and discuss the various etiologies,the current concepts of diagnosis,and treatment,with a view to developing a strategy for timely diagnosis and management of pregnant women presenting with acute abdominal pain.

关 键 词：妊娠 急腹症 妊娠并发症 临床路径 

分 类 号：R714.25[医药卫生—妇产科学]