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目的探讨妊娠合并外科急腹症的诊治。方法 31例妊娠合并外科急腹症患者作为观察对象,回顾分析诊治要点。结果 9例合并急性阑尾炎;5例合并急性胆囊炎;6例合并泌尿结石;2例合并肠梗阻;8例合并急性胰腺炎;1例合并胆总管蛔虫。6例行开腹手术,致难免流产2例,早产1例;8例行腹腔镜手术中,人工流产2例;10例行保守治疗,全部成功妊娠致分娩。31例孕妇无一例死亡。结论针对不同妊娠合并外科急腹症,需根据其临床特征进行诊治;对于合并外科急腹症的妊娠早中期患者行腹腔镜手术治疗,效果更好,能较好降低流产率。
Objective To investigate the diagnosis and treatment of pregnancy complicated with acute abdomen. Methods 31 cases of pregnancy combined with acute abdomen as observation object, review the main points of diagnosis and treatment. Results Nine patients had acute appendicitis, five had acute cholecystitis, six had urinary stones, two had intestinal obstruction, eight had acute pancreatitis, and one had cholecystitis. 6 cases of laparotomy, resulting in 2 cases of inevitable abortion, premature 1 case; 8 cases of laparoscopic surgery, 2 cases of induced abortion; 10 cases of conservative treatment, all of the successful pregnancy induced labor. None of the 31 pregnant women died. Conclusions For different acute abdomen complications in pregnancy, the diagnosis and treatment should be based on its clinical features. Laparoscopic surgery in early and mid-third trimester patients with surgical acute abdomen is better and can reduce the abortion rate.