SPRONG D H, POLLOCK W F
Calif Med. 1959 Nov;91(5):258-60.
Acute appendicitis occurs as a complication of pregnancy in about 0.1 per cent of cases. Diagnosis may be somewhat more difficult during the second and third trimesters dur to the displacement of viscera and the increased incidence of pyelitis and constipation. It is based on the same symptoms and signs as in nonpregnant patients. The treatment is immediate operation regardless of the stage of pregnancy. A McBurney incision is preferred and it is placed somewhat higher than usual in the later stages of pregnancy. When operation is done promptly there is little danger to either mother or fetus.
急性阑尾炎作为妊娠并发症的发生率约为0.1%。在妊娠中晚期，由于脏器移位以及肾盂炎和便秘发生率增加，诊断可能会稍困难一些。其诊断依据与非妊娠患者相同的症状和体征。无论妊娠处于何阶段，治疗均为立即手术。首选麦氏切口，在妊娠后期切口位置比通常略高。若能及时手术，对母亲和胎儿的危险均很小。
