CAJ | 학술논문

目的回顾性分析和探讨60例妊娠各期合并急性阑尾炎患者的临床特征、治疗方法和心理护理体会.方法2008年1月2012年1月期间妊娠各期合并急性阑尾炎患者60例,其中手术治疗38例,保守治疗22例.分析统计了38例手术治疗患者的临床症状、辅助检查及病理分型结果,并给予一定心理护理.结果手术治疗患者中均出现腹痛症状,且55.3%患者出现转移性右下腹痛,76.3%患者出现麦氏点压痛,白细胞≥10×109/L患者26例(68.4%),中性粒细胞≥80%患者32例(84.2%).结论妊娠早期合并急性阑尾炎的症状、体征与非孕者基本相同,但恶心、呕吐等消化道症状较明显；妊娠中、晚期急性阑尾炎因子宫增大等原因较难诊断,对此类患者进行医治的过程中应注意有无胎儿窘迫及临产征兆；对此类患者加强心理护理,给予一定心理安慰,有利于缓和其焦虑情绪,以良好的心态接受治疗和护理.
목적회고성분석화탐토60례임신각기합병급성란미염환자적림상특정、치료방법화심리호리체회.방법2008년1월2012년1월기간임신각기합병급성란미염환자60례,기중수술치료38례,보수치료22례.분석통계료38례수술치료환자적림상증상、보조검사급병리분형결과,병급여일정심리호리.결과수술치료환자중균출현복통증상,차55.3%환자출현전이성우하복통,76.3%환자출현맥씨점압통,백세포≥10×109/L환자26례(68.4%),중성립세포≥80%환자32례(84.2%).결론임신조기합병급성란미염적증상、체정여비잉자기본상동,단악심、구토등소화도증상교명현；임신중、만기급성란미염인자궁증대등원인교난진단,대차류환자진행의치적과정중응주의유무태인군박급임산정조；대차류환자가강심리호리,급여일정심리안위,유리우완화기초필정서,이량호적심태접수치료화호리.
Objective To retrospectively analysis and discussion the clinical characteristics, treatment methods and nursing experience of 60 pregnant patients who had acute appendicitis in each periods. Methods 60 pregnant patients of each periods who had acute appendicitis between 2008 and 2012 were divided into 38 surgical treatment patients and 22 conservative treatment patients. The clinical symptoms, test results and pathology classification of 38 surgical patients were compared, and psychological nursing has been given. Results The symptoms of abdominal pain has been happened in all these patients, metastatic right lower abdominal pain(55.3%), McBurney tenderness (76.3%),WBC≥10×109/L(68.4%) and leucocyte≥10×109/L(68.4%). Conclusion The symptoms of pregnant patients in the early stages is similar to no-pregnant patients, but nausea and vomiting is more obvious. The pregnant patients in the middle and late stages is more difficult to diagnosis, because of the uterus increasesed. And we should paid attention to fetal distress and being in labor during the treatment process. To strengthen the psychological nursing and given psychological comfort is helpful to them for easing their anxiety and making they receive the treatment with good attitude.