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[急性阑尾炎与妊娠]

[Acute appendicitis and pregnancy].

作者信息

Uchikov A, Uchikova E, Markova D, Dimov R, Genova S

出版信息

Khirurgiia (Sofiia). 2005(4-5):12-5.

Abstract

Acute appendicitis remains the most common nonobstetric surgical diagnosis during pregnancy, requiring surgery. It is estimated that its frequency is 1 case per 1500 pregnancies. The delay in the diagnosis correlates with an increase in ruptured appendix and a dramatic elevation in fetal and maternal morbidity and mortality. In the study the authors discuss the clinical presentation, laboratory findings, operative treatment, pathologic diagnosis and the outcome of the disease of 17 cases with acute appendicitis in pregnancy, operated in the Clinic of Thoraco Abdominal Surgery for a ten years period of time. The early surgical treatment plays an important role for the succsessful outcome of the disease and reduces the complications for the mother and the fetus.

摘要

急性阑尾炎仍然是孕期最常见的非产科外科诊断疾病,需要进行手术。据估计,其发病率约为每1500次妊娠中有1例。诊断延迟与阑尾破裂的增加以及胎儿和母亲发病率及死亡率的显著升高相关。在该研究中,作者讨论了17例孕期急性阑尾炎患者的临床表现、实验室检查结果、手术治疗、病理诊断及疾病转归,这些患者是在胸腹部外科诊所接受手术,为期十年。早期手术治疗对疾病的成功转归起着重要作用,并减少了对母亲和胎儿的并发症。

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