目的探讨妊娠合并外科急腹症的临床表现及治疗方法。方法选取2007年1月至2012年1月我院收治的42例妊娠合并外科急腹症患者,并结合相关文献进行回顾性分析。结果 42例妊娠合并外科急腹症患者中,急性阑尾炎20例,占47.6%;急性胆囊炎11例,占26.2%;急性胰腺炎6例,占14.3%;泌尿系统结石3例,占7.1%;肠梗阻2例,占4.8%。31例患者进行保守治疗,11例患者实施手术治疗,无孕产妇死亡,胎儿损失4例,占9.5%。结论对于妊娠合并外科急腹症患者应高度重视,根据其临床表现和辅助检查应尽早诊断、尽早治疗,多方面鉴别,减少误诊,以降低孕产妇及胎儿的死亡率。 Objective To investigate the clinical manifestations and treatment of pregnancy combined with acute abdomen. Methods From January 2007 to January 2012, 42 cases of pregnancy-associated acute abdomen in our hospital were selected and retrospectively analyzed with related literatures. Results Among the 42 cases of acute abdomen pregnancy, 20 cases were acute appendicitis, accounting for 47.6%; 11 cases were acute cholecystitis, accounting for 26.2%; 6 cases were acute pancreatitis, accounting for 14.3%; urolithiasis was 3 cases, accounting for 7.1% ; Intestinal obstruction in 2 cases, accounting for 4.8%. Twenty-one patients received conservative treatment, and 11 patients underwent surgical treatment without maternal death. Fetal loss occurred in 4 patients (9.5%). Conclusions The patients with acute abdomen in pregnancy should attach great importance. According to their clinical manifestations and laboratory examinations, they should be diagnosed as soon as possible, treated as soon as possible, and identified in many ways to reduce misdiagnosis and reduce maternal and fetal mortality.