Halvorsen A C, Brandt B, Andreasen J J
Department of Obstetrics and Gynaecology, Rigshospitalet, University of Copenhagen, Denmark.
Eur J Surg. 1992 Nov-Dec;158(11-12):603-6.
To establish guidelines for the management of a pregnancy that is complicated by acute appendicitis.
Retrospective study.
University Hospital, Copenhagen, Denmark.
16 patients operated on for symptoms of acute appendicitis during the 15 year period 1974-1988.
In 12 patients (75%) the diagnosis was confirmed histologically. The signs and symptoms were classic, and three patients had contractions. One fetus died, in a patient with appendicitis complicated by intraperitoneal abscess. In all uncomplicated cases the pregnancy proceeded to term and the deliveries were normal.
Pregnancy should not deter a surgeon from removing an appendix, once the diagnosis is suspected; no pregnancy was affected by removal of a normal appendix. We recommend that prophylactic antibiotics and tocolytic drugs be given in all cases. Simultaneous caesarean section should be done only if there are obstetric indications.
制定妊娠期并发急性阑尾炎的管理指南。
回顾性研究。
丹麦哥本哈根大学医院。
1974年至1988年15年间因急性阑尾炎症状接受手术的16例患者。
12例患者（75%）经组织学确诊。体征和症状典型，3例患者有宫缩。1例阑尾炎并发腹腔脓肿的患者胎儿死亡。所有无并发症的病例均足月妊娠且分娩正常。
一旦怀疑诊断，妊娠不应阻碍外科医生切除阑尾；切除正常阑尾对妊娠无影响。我们建议所有病例均给予预防性抗生素和宫缩抑制剂。仅在有产科指征时才应同时行剖宫产术。
