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目的探讨妊娠合并阑尾炎的临床特点,诊断要点,治疗及母婴预后。方法对海南州人民医院1998年1月至2009年1月11年间收治的60例妊娠合并阑尾炎的临床资料进行回顾性分析。结果手术治疗48例,其中阑尾穿孔、并发腹膜炎10例,早产8例,流产5例,无死胎。结论妊娠合并阑尾炎与非孕期阑尾炎具有不同的临床特点,手术是主要治疗手段,早期诊断基础上加用中药治疗也能取得好的效果。
Objective To investigate the clinical features, diagnosis points, treatment and maternal and infant prognosis of pregnancy complicated with appendicitis. Methods The clinical data of 60 pregnant women complicated with appendicitis admitted to Hainan Provincial People ’s Hospital from January 1998 to January 2009 were retrospectively analyzed. Results Surgical treatment of 48 cases, including perforation of the appendix, peritonitis complicated by 10 cases, 8 cases of premature birth, abortion in 5 cases, no stillbirth. Conclusion Pregnancy complicated with appendicitis and non-pregnant appendicitis have different clinical features. Surgery is the main treatment method. On the basis of early diagnosis, traditional Chinese medicine treatment can achieve good results.