妊娠合并急腹症69例的临床特点与妊娠结局

发布时间：2018-02-25 06:09

本文关键词： 妊娠急腹症早期诊断疗效　出处：《现代妇产科进展》2017年01期 　论文类型：期刊论文

【摘要】：目的:探讨妊娠合并急腹症的临床特点及妊娠结局。方法:回顾分析2007年1月至2014年5月我院收治的69例妊娠合并急腹症患者的临床资料。结果:39例妊娠合并阑尾炎均行手术治疗,术后流产1例,早产2例,切口感染3例。9例合并急性胰腺炎,2例手术治疗,术后1例自行选择流产,1例自然流产;7例保守治疗成功。7例合并急性胆囊炎,保守治疗3例,4例行手术治疗,术后流产1例。5例合并肠梗阻,3例保守治疗,2例保守无效行手术治疗;4例合并泌尿系统结石,2例保守治疗,2例手术治疗。5例合并卵巢囊肿蒂扭转均行手术治疗,术后早产1例。所有病例中无孕产妇死亡,均痊愈出院,所有新生儿包括早产儿均存活。结论:早期诊断和积极有效干预有利于改善妊娠结局、提高临床疗效,确保母儿安全。
[Abstract]:Objective: to investigate the clinical characteristics and pregnancy outcome of pregnancy complicated with acute abdomen. Methods: the clinical data of 69 cases of pregnancy complicated with acute abdomen admitted in our hospital from January 2007 to May 2014 were analyzed retrospectively. Results: 39 cases of pregnancy complicated with diaphragm were treated in our hospital from January 2007 to May 2014. All patients with tail inflammation were treated by operation. There were 1 case of postoperative abortion, 2 cases of premature delivery, 3 cases of incisional infection and 2 cases of acute pancreatitis. One case of spontaneous abortion 1 case of spontaneous abortion and 7 cases of successful conservative treatment with acute cholecystitis. 3 cases were treated with conservative therapy and 4 cases were treated by operation. Postoperative abortion was performed in 1 case (5 cases) with intestinal obstruction and 3 cases with conservative treatment. 2 cases with urinary system stones and 2 cases with urolithiasis were treated by operation. 2 cases were treated by operation, 5 cases were treated with ovarian cyst pedicle torsion, and 2 cases were treated by operation. All cases were cured and discharged. All newborns, including premature infants, survived. Conclusion: early diagnosis and effective intervention are helpful to improve the outcome of pregnancy, improve the clinical efficacy and ensure the safety of mother and infant.
【作者单位】：扬州大学临床医学院妇产科;
【分类号】：R714.255

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