Baylor Scott & White Medical Center, 2401 South 31st Street, Temple, TX 76508, USA.
Baylor Scott & White Medical Center, 2401 South 31st Street, Temple, TX 76508, USA.
Surg Clin North Am. 2023 Dec;103(6):1217-1229. doi: 10.1016/j.suc.2023.05.016. Epub 2023 Jul 1.
Nonobstetrical surgical emergencies can occur throughout pregnancy but are often difficult to diagnose due to the physiologic and anatomical changes that occur during pregnancy. Medical providers should have insight into these changes and be familiar with options for the diagnosis and management of common nonobstetrical surgical emergencies, such as appendicitis, cholecystitis, and small bowel obstruction. Surgeons should also be aware of obstetrical emergencies, such as ectopic pregnancy and severe vaginal bleeding, which may be life threatening to mother and the fetus. Intraoperatively, surgeons should be familiar with minimally invasive approaches for surgical diseases and special anesthetic considerations for pregnant patients.
非产科手术急症可发生于整个孕期，但由于孕期发生的生理和解剖变化，这些急症往往难以诊断。医疗服务提供者应了解这些变化，并熟悉常见非产科手术急症（如阑尾炎、胆囊炎和小肠梗阻）的诊断和处理方法。外科医生还应了解产科急症，如宫外孕和严重阴道出血，这些急症可能对母亲和胎儿构成生命威胁。手术过程中，外科医生应熟悉外科疾病的微创方法和针对孕妇的特殊麻醉注意事项。
