医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
3期
486-488
,共3页
妊娠并发症%急腹症
妊娠併髮癥%急腹癥
임신병발증%급복증
Pregnancy Complications%Abdomen,Acute
【目的】探讨妊娠合并急腹症患者的临床特征以及相关的治疗方法。【方法】选择本院2010年10月至2012年10月间进行诊治的100例妊娠合并急腹症患者，对其临床资料进行分析比较。【结果】100例妊娠合并急腹症的患者中，有44例为急性阑尾炎，占44％；24例为胆石症、急性胆囊炎，占24％；16例为泌尿系统结石，占16％；8例为急性胃肠炎，占8％；8例为卵巢囊肿蒂扭转，占8％。其中52例患者行手术治疗，占52％；48例患者行保守治疗，占48％。所有患者中有4例患者发生自然流产，4例出现早产，16例在进行手术的同时进行剖宫产手术，76例患者继续妊娠，未出现孕产妇死亡的病例。【结论】妊娠合并急腹症的患者临床症状复杂多变，容易出现误诊，临床医生应高度的重视病情，依据患者的辅助检查、临床表现及时对患者做出正确的诊断，以便制定相应的治疗措施，从而降低孕产妇的病死率。
【目的】探討妊娠閤併急腹癥患者的臨床特徵以及相關的治療方法。【方法】選擇本院2010年10月至2012年10月間進行診治的100例妊娠閤併急腹癥患者，對其臨床資料進行分析比較。【結果】100例妊娠閤併急腹癥的患者中，有44例為急性闌尾炎，佔44％；24例為膽石癥、急性膽囊炎，佔24％；16例為泌尿繫統結石，佔16％；8例為急性胃腸炎，佔8％；8例為卵巢囊腫蒂扭轉，佔8％。其中52例患者行手術治療，佔52％；48例患者行保守治療，佔48％。所有患者中有4例患者髮生自然流產，4例齣現早產，16例在進行手術的同時進行剖宮產手術，76例患者繼續妊娠，未齣現孕產婦死亡的病例。【結論】妊娠閤併急腹癥的患者臨床癥狀複雜多變，容易齣現誤診，臨床醫生應高度的重視病情，依據患者的輔助檢查、臨床錶現及時對患者做齣正確的診斷，以便製定相應的治療措施，從而降低孕產婦的病死率。
【목적】탐토임신합병급복증환자적림상특정이급상관적치료방법。【방법】선택본원2010년10월지2012년10월간진행진치적100례임신합병급복증환자，대기림상자료진행분석비교。【결과】100례임신합병급복증적환자중，유44례위급성란미염，점44％；24례위담석증、급성담낭염，점24％；16례위비뇨계통결석，점16％；8례위급성위장염，점8％；8례위란소낭종체뉴전，점8％。기중52례환자행수술치료，점52％；48례환자행보수치료，점48％。소유환자중유4례환자발생자연유산，4례출현조산，16례재진행수술적동시진행부궁산수술，76례환자계속임신，미출현잉산부사망적병례。【결론】임신합병급복증적환자림상증상복잡다변，용역출현오진，림상의생응고도적중시병정，의거환자적보조검사、림상표현급시대환자주출정학적진단，이편제정상응적치료조시，종이강저잉산부적병사솔。
[Objective] To explore the clinical features and treatment methods of patients with acute abdo-men during pregnancy .[Methods] Totally 100 cases of pregnancy complicated with acute abdomen in our hos-pital from Oct .2010 to Oct .2012 were selected .Clinical data were analyzed .[Results] Of 100 patients with acute abdomen during pregnancy ,44 patients were acute appendicitis (44% ) ,and 24 patients were cholelithia-sis or acute cholecystitis(24% ) ,and 16 patients were urinary tract stones (16% ) and 8 patients were acute gastroenteritis(8% ) ,and 8 patients were ovarian cyst torsion (8% ) .Among them ,52 patients underwent the operation(52% ) and 48 patients underwent conservative treatment (48% ) .Spontaneous abortion occurred in 4 patients ,and premature delivery occurred in 4 patients .Sixteen patients underwent the surgical treatment and caesarean operation concurrently ,and 76 patients continued pregnancy .No maternal death was found .[Con-clusion]Clinical symptoms of patients with acute abdomen during pregnancy are complex and changeable ,and easily misdiagnosed .The disease condition should be highly paid attention by clinicians .According to auxiliary examination and clinical manifestations ,correct diagnosis for patients should be promptly made to formulate the corresponding treatment measures in order to reduce maternal mortality .
