Pastore Patricia A, Loomis Dianne M, Sauret John
Department of Family Medicine, The State University of New York at Buffalo, Buffalo, NY 14215, USA.
J Am Board Fam Med. 2006 Nov-Dec;19(6):621-6. doi: 10.3122/jabfm.19.6.621.
Our urban practice had two incidences of documented appendicitis in pregnancy in a 24-hour period with two unique outcomes that prompted an inquiry. Appendicitis in pregnancy is relatively rare, but it has significant morbidity and is a cause of maternal and infant mortality. Abdominal pain is the most common presenting symptom, and the consideration of multiple pathologic disorders should be entertained. Accurate diagnosis of appendicitis in pregnancy is the largest challenge since the signs and symptoms may vary depending on the trimester in which the patient presents.
We undertook a systematic review of English-language articles from 1975 to 2005 using the key words "appendicitis," and "pregnancy" using MEDLINE, CINAHL, and Cochrane Controlled Trials Register databases.
The accurate diagnosis of appendicitis during pregnancy requires a high level of suspicion and clinical skills, and not merely relying on the classic signs and diagnostic testing. Primary care providers play an important role in recognizing potential signs and symptoms of appendicitis in pregnancy to initiate prompt action and reduce negative maternal and fetal outcomes.
我们的城市诊所曾在24小时内出现两例有记录的妊娠期阑尾炎病例，其不同的结局引发了一项调查。妊娠期阑尾炎相对少见，但发病率较高，且是母婴死亡的一个原因。腹痛是最常见的症状表现，应考虑多种病理病症。妊娠期阑尾炎的准确诊断是最大的挑战，因为其体征和症状可能因患者所处孕期不同而有所差异。
我们使用关键词“阑尾炎”和“妊娠”，通过医学文献数据库（MEDLINE）、护理学与健康领域数据库（CINAHL）以及考科蓝对照试验注册数据库，对1975年至2005年期间的英文文章进行了系统综述。
妊娠期阑尾炎的准确诊断需要高度的怀疑意识和临床技能，而不能仅仅依赖于典型体征和诊断检查。初级保健提供者在识别妊娠期阑尾炎的潜在体征和症状方面发挥着重要作用，以便及时采取行动并减少对母婴的不良结局。
