45例妊娠合并急性阑尾炎临床病例分析

发布时间：2018-05-04 03:06

本文选题：阑尾炎 + 腹痛　；参考：《重庆医学》2017年15期

【摘要】：目的探讨妊娠合并急性阑尾炎的临床特点和诊疗策略。方法对2010年1月至2016年6月45例于该院手术确诊为妊娠合并急性阑尾炎病例的临床资料进行回顾性分析。结果 45例患者均出现腹痛表现,其中转移性右下腹痛15例(33.3%),腹部压痛44例(97.8%)。术中发现阑尾坏疽4例,大网膜坏死1例。术后并发症共5例,其中切口愈合不良2例,感染性休克1例,炎性肠梗阻1例,不全性粘连性肠梗阻1例。术后11例患者(孕22~(+3)~36~(+2)周)出现先兆流产或先兆早产,最终流产1例(孕25~(+3)周),早产3例(孕28~(+4)~30~(+4)周)。结论妊娠合并急性阑尾炎以腹痛为主要临床表现,易出现严重并发症。
[Abstract]:Objective to investigate the clinical characteristics and diagnosis and treatment of pregnancy with acute appendicitis. Methods the clinical data of 45 cases of pregnancy with acute appendicitis diagnosed in our hospital from January 2010 to June 2016 were retrospectively analyzed. Results abdominal pain was found in all 45 patients, including metastatic right lower abdominal pain in 15 cases, abdominal tenderness in 44 cases and abdominal tenderness in 44 cases. 4 cases of appendiceal gangrene and 1 case of greater omentum necrosis were found during operation. There were 5 cases of postoperative complications, including 2 cases of poor wound healing, 1 case of septic shock, 1 case of inflammatory intestinal obstruction and 1 case of incomplete adhesive intestinal obstruction. There were 11 cases of threatened abortion or threatened premature delivery in 11 patients (pregnancy 22 weeks), 1 case of final abortion (pregnancy 25 weeks (3) weeks old) and 3 cases of premature delivery (pregnancy 28 cases (4 cases) with 30 cases (4) weeks of gestation). Conclusion the main clinical manifestation of pregnancy with acute appendicitis is abdominal pain, which is prone to severe complications.
【作者单位】：第三军医大学西南医院妇产科;
【基金】：重庆市社会民生科技创新专项课题(cstc2015shmszx120065)
【分类号】：R714.255

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