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目的:探讨妊娠合并急腹症的临床特点及妊娠结局。方法:回顾分析2007年1月至2014年5月我院收治的69例妊娠合并急腹症患者的临床资料。结果:39例妊娠合并阑尾炎均行手术治疗,术后流产1例,早产2例,切口感染3例。9例合并急性胰腺炎,2例手术治疗,术后1例自行选择流产,1例自然流产;7例保守治疗成功。7例合并急性胆囊炎,保守治疗3例,4例行手术治疗,术后流产1例。5例合并肠梗阻,3例保守治疗,2例保守无效行手术治疗;4例合并泌尿系统结石,2例保守治疗,2例手术治疗。5例合并卵巢囊肿蒂扭转均行手术治疗,术后早产1例。所有病例中无孕产妇死亡,均痊愈出院,所有新生儿包括早产儿均存活。结论:早期诊断和积极有效干预有利于改善妊娠结局、提高临床疗效,确保母儿安全。
Objective: To investigate the clinical features and pregnancy outcome of acute abdomen with pregnancy. Methods: The clinical data of 69 cases of pregnancy complicated with acute abdomen admitted from January 2007 to May 2014 in our hospital were retrospectively analyzed. Results: 39 cases of pregnancy complicated with appendicitis were treated surgically, 1 case of postoperative abortion, premature birth in 2 cases, incision infection in 3 cases. 9 cases with acute pancreatitis, 2 cases of surgical treatment, 1 case of spontaneous abortion, 1 case of spontaneous abortion; 7 cases of conservative treatment success. 7 cases with acute cholecystitis, conservative treatment in 3 cases, 4 cases of surgical treatment, 1 case of postoperative abortion. 5 cases of intestinal obstruction, 3 cases of conservative treatment, 2 cases of conservative treatment of ineffective surgery; 4 cases of urinary tract stones, conservative treatment of 2 cases, 2 cases of surgical treatment. 5 patients with ovarian cyst torsion surgery were cured, 1 case of preterm labor. In all cases, no maternal deaths were recovered and discharged, and all newborns, including preterm infants, survived. Conclusion: Early diagnosis and effective intervention are beneficial to improve pregnancy outcome, improve clinical efficacy and ensure the safety of mother and child.