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目的：探讨妊娠合并外科急腹症的临床特点及处理原则。方法回顾性分析我院10年来60例妊娠合并急腹症类型、临床表现、诊治方法及妊娠结局。结果60例妊娠合并急腹症中，急性阑尾炎45例；胆系感染3例；急性胰腺炎7例；肠梗阻5例。60例妊娠合并急腹症患者手术治疗27例；保守治疗33例；流产、早产4例，胎死宫内1例。结论妊娠合并急腹症由于孕妇特殊的解剖生理改变，使得某些急腹症缺乏典型的症状和体征，从而延误诊断和治疗及危及母婴生命。“,”Objective To discuss the clinical manifestations and treatment of pregnant women with acute abdominal diseases.Methods Retrospective analysis was applied to analyze the types,clinical manifestations,diagnoses,treatments and pregnant outcomes of 60 pregnant patients associated with acute abdominal diseases in the last ten years in our hospital.Results In the 60 patients,there are 45 cases of acute appendicitis,3 cases of gal bladder system infection,7 cases of acute pancreatitis,5 cases of intestinal obstruction.In the 60 cases,27 cases underwent surgery and 33 cases accepted conservative treatment.Abortion and premature delivery were found in 4 case and fetal death in 1 cases.Conclusion For special anatomical and physiological changes of pregnant women with acute abdominal diseases,diagnosis and treatment would be more easily to delayed and maternity and childrens'lives would be threatened as results of the dif iculty in detecting typical symptoms and signs.