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妊娠期外科急腹症并不少见,有的临床表现与产科急症如胎盘早期剥离及子宫破裂等相似,常造成误诊,甚至导致孕妇及胎儿死亡。妊娠期外科急腹症的诊断较非妊娠者困难,原因是:①妊娠期子宫增大,引起腹腔内脏的解剖学改变,可使急腹症的体征发现不典型;②妊娠期的某些实验室常数有变异;③某些诊断措施在妊娠期属禁忌,或诊断结果的判断可能遇到困难。为了抢救孕妇和胎儿的生命,产科工作者应该掌握外科急腹症的临床特点,以及类同产科急症的临床表现,迅速采取有效的诊断方法,及时确诊,并进行合理治疗。以下扼要介绍妊娠期较常见的几种外科急腹症。
Surgical acute abdomen during pregnancy is not uncommon, and some clinical manifestations and obstetric emergencies such as early placental dissection and uterine rupture are similar, often resulting in misdiagnosis, and even lead to the death of pregnant women and fetuses. The diagnosis of surgical acute abdomen during pregnancy more difficult than non-pregnant, because: ① increased uterine during pregnancy, resulting in anatomical changes of abdominal viscera, acute abdomen can make the signs found atypical; ② some experiments during pregnancy Room constant variability; ③ some diagnostic measures taboo during pregnancy, or the diagnosis of the diagnosis may encounter difficulties. In order to save the lives of pregnant women and fetuses, obstetricians should master the clinical features of surgical acute abdomen and the clinical manifestations of similar emergency obstetric services, promptly take effective diagnosis, timely diagnosis and reasonable treatment. The following is a brief introduction to several of the more common types of surgical acute abdomen during pregnancy.