Cunningham F G, McCubbin J H
Obstet Gynecol. 1975 Apr;45(4):415-20.
Thirty-four pregnant women with acute appendicitis presented at Parkland Memorial Hospital during a 15-year period. Abdominal pain, usually accompanied by nausea with or without vomiting, was the most common presenting symptom. Anorexia was less constant, and its occurrence decreased with advancing gestation. Physical findings usually included direct abdominal tenderness and, less often, rebound tenderness. Leukocytosis and/or a "left shift" were common laboratory findings, and the urinalysis was normal in most cases. Diagnosis was increasingly difficult as gestation progressed. This was reflected both by the increasing severity of the disease process found at surgery and by increasing fetal loss. If the diagnosis of appendicitis is suspected in the gravid patient, immediate surgical intervention is indicated to prevent the catastrophic complications associated with procrastination in diagnosis and treatment.
在15年期间，34名患有急性阑尾炎的孕妇前往帕克兰纪念医院就诊。腹痛通常伴有恶心，伴有或不伴有呕吐，是最常见的症状。厌食症则不太常见，且随着孕周增加其发生率降低。体格检查通常包括腹部直接压痛，较少见的是反跳痛。白细胞增多和/或“核左移”是常见的实验室检查结果，大多数情况下尿液分析正常。随着孕周增加，诊断越来越困难。这既体现在手术中发现的疾病进程严重程度增加，也体现在胎儿丢失增加。如果怀疑孕妇患有阑尾炎，应立即进行手术干预，以防止因诊断和治疗拖延而出现灾难性并发症。
