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目的:探讨妊娠合并急腹症的诊断与处理。方法:对该院2000年1月～2006年12月收治的64例妊娠合并急腹症患者的临床资料进行回顾性分析。结果:64例妊娠合并急腹症中,外科急腹症48例,占75.00%,妇科急腹症16例,占25.00%。孕产妇因急性胰腺炎延误诊治死亡1例,9例发生流产、早产、胎儿死亡。结论:临床上应加强对妊娠合并急腹症的认识,尤其是提高对妊娠合并急性胰腺炎的识别和早期诊断水平。对急性阑尾炎、卵巢肿瘤蒂扭转等,一旦确诊,应积极手术,其他急腹症的治疗则以保守治疗为主。
Objective: To investigate the diagnosis and treatment of acute abdomen with pregnancy. Methods: The clinical data of 64 cases of pregnancy complicated with acute abdomen admitted from January 2000 to December 2006 in our hospital were analyzed retrospectively. Results: In 64 cases of acute abdomen pregnancy, 48 cases of surgical acute abdomen, accounting for 75.00%, 16 cases of gynecological acute abdomen, accounting for 25.00%. One case of maternal death due to delayed diagnosis and treatment of acute pancreatitis, 9 cases of abortion, premature birth, fetal death. Conclusion: Clinical knowledge of acute abdomen complications in pregnancy should be strengthened, especially for the identification and early diagnosis of acute pancreatitis complicated with pregnancy. Acute appendicitis, torsion of ovarian tumors, etc., once diagnosed, should be actively surgery, other acute abdomen treatment is based on conservative treatment.