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目的探讨妊娠期急性腹痛的病因,以提高妊娠并发症的鉴别诊断水平。方法对我院收治的3例妊娠期腹痛的临床资料进行回顾性分析。结果本组均为妊娠晚期并发腹痛,误诊为急性阑尾炎1例,术后确诊为妊娠晚期并发卵巢肿瘤蒂扭转,慢性阑尾炎;先兆早产2例,B超检查确诊为慢性盆腔炎、左侧输尿管不全梗阻各1例,给予对症处理后均治愈。结论对妊娠期并发腹痛者需要多方面考虑及仔细查体,以避免误诊。
Objective To explore the etiology of acute abdominal pain during pregnancy in order to improve the differential diagnosis of pregnancy complications. Methods The clinical data of 3 cases of pregnancy-induced abdominal pain admitted to our hospital were retrospectively analyzed. Results This group were complicated with abdominal pain in late pregnancy, misdiagnosed as acute appendicitis in 1 case, postoperative diagnosis of late pregnancy complicated by ovarian tumors torsion, chronic appendicitis; threatened preterm birth in 2 cases, B ultrasound examination diagnosed as chronic pelvic inflammatory disease, left ureteral insufficiency Obstruction in 1 case, given symptomatic treatment were cured. Conclusions Patients with abdominal pain during pregnancy need to consider many aspects and carefully check the body to avoid misdiagnosis.