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阑尾炎是一种常见病,一般诊断不难,疗效亦佳,死亡率较低,近已降至0.1~0.2%以下。但妊娠期急性阑尾炎由于解剖、病理上存在着一定的特殊性,致给临床诊断和治疗带来不少困难,如果处理不当,对母体和胎儿可产生严重影响,死亡率可达2%,胎儿死亡率(包括流产、早产)约为20%。因此,对于妊娠期急性阑尾炎要特别重视,精心诊疗,才能确保母、婴健康。一、妊娠期阑尾炎的解剖、病理特点增大的妊娠子官,可将阑尾和盲肠向外上方和向后推移,部分可被增大的子宫掩盖。一般阑尾基底部
Appendicitis is a common disease, the general diagnosis is not difficult, curative effect is also good, low mortality, has dropped to 0.1 ~ 0.2% or less. However, acute appendicitis in pregnancy due to anatomy and pathology there is a certain specificity, resulting in clinical diagnosis and treatment of many difficulties, if not handled properly, can have a serious impact on the mother and the fetus, the mortality rate of up to 2%, the fetus Mortality (including miscarriage, premature birth) is about 20%. Therefore, acute appendicitis during pregnancy should pay special attention, careful diagnosis and treatment, to ensure that the mother and infants health. First, the anatomy of appendicitis during pregnancy, pathological features increased gestational son, the appendix and cecum can be pushed upward and backward outward, part of the uterus can be overstressed. General appendix base