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目的探讨妊娠期合并急性阑尾炎的临床特点,诊断和治疗方法。方法回顾性分析2007年—2009年妊娠合并阑尾炎住院患者38例。结果手术治疗22例,保守治疗16例,24 h内确诊35例,误诊3例。母婴结局良好。结论妊娠合并急性阑尾炎临床表现不典型,增加诊断难度,当妊娠期妇女出现腹痛伴有腹膜刺激症,血象增高时,应考虑妊娠期阑尾炎可能,早期诊断和及时处理对预后有重要影响。
Objective To investigate the clinical features, diagnosis and treatment of acute appendicitis during pregnancy. Methods Retrospective analysis of 38 cases of hospitalized patients with appendicitis during pregnancy from 2007 to 2009. Results Surgical treatment of 22 cases, conservative treatment of 16 cases, diagnosed within 24 h in 35 cases, misdiagnosed in 3 cases. Maternal and child finale good. Conclusions The clinical manifestations of acute appendicitis in pregnancy are not typical, which makes it more difficult to diagnose. When pregnant women have abdominal pain accompanied by peritoneal irritation, the appendicitis in pregnancy should be considered. Early diagnosis and prompt treatment have important influence on prognosis.