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目的:探讨妊娠合并阑尾炎尽早诊断和尽早手术对预后的影响。方法:2004年6月~2012年6月收治44例妊娠期急性阑尾炎患者的临床表现、诊断及治疗进行回顾性分析。对我院妊娠合并阑尾炎早期明确诊断,尽早手术对预后的影响。结果:临床表现为急腹症,除4例患者因并发腹膜炎,病情危重转上级医院治疗外,所有患者均行阑尾切除术,流产6例,早产5例,死胎3例,无产妇死亡。结论:妊娠合并结妊娠期急性阑尾炎的诊治经验,防止流产、早产、死胎等并发症发生。
Objective: To investigate the effect of early diagnosis and early operation of pregnancy complicated with appendicitis on prognosis. Methods: The clinical manifestations, diagnosis and treatment of 44 patients with acute appendicitis in pregnancy from June 2004 to June 2012 were analyzed retrospectively. On the early pregnancy of our hospital with complicated appendicitis diagnosis, the impact of early surgery on the prognosis. Results: The clinical manifestations were acute abdomen. Except 4 patients who died of concomitant peritonitis and critically ill patients, all patients underwent appendectomy. There were 6 abortion cases, 5 premature births and 3 stillbirths with no maternal death. Conclusion: The diagnosis and treatment of acute appendicitis in pregnancy combined with pregnancy prevent complications such as miscarriage, premature birth and stillbirth.