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妊娠非产科急腹症:文献复习。

Non-obstetric Acute Abdomen in Pregnancy: a Review of Literature.

机构信息

Department of General Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Med Arch. 2023;77(4):293-298. doi: 10.5455/medarh.2023.77.293-298.

Abstract

BACKGROUND

Acute abdomen in pregnancy (AAP) is defined as intensive abdominal pain lasting less than 24 hours that may require urgent surgery. It is a challenging situation to diagnose and manage, as it is associated with pain due to the normal anatomical and physiological changes that occur during pregnancy.

OBJECTIVE

Therefore, understanding these changes and their effect on almost every system, will help us appreciate the upcoming causes of AAP, mainly the non-obstetric surgical emergencies (e.g., appendicitis, cholecystitis).

METHODS

This article highlights the importance of the well-rounded care that should be offered to every pregnant patient presenting to any center with a Non-obstetric Acute Abdomen. The causes are discussed separately (for surgical pearls), laparoscopic approach and radiologic modality decision-making in pregnancy, which is an academic and a practice-based helpful summary.

RESULTS AND DISCUSSION

This article highlights the importance of the well-rounded care that should be offered to every pregnant patient presenting to any center with a Non-obstetric Acute Abdomen. The causes are discussed separately (for surgical pearls), laparoscopic approach and radiologic modality decision-making in pregnancy, which is an academic and a practice-based helpful summary. Results and Discussion: In addition, the sequence of ideas and language used in the article was based to help the reader understand the topic, rather than inform them about it. In addition, the utility of laparoscopy in pregnancy remains a concern due to the possible risk of injury to the fetus and fetal acidosis. Although, trials showed that laparoscopy was associated with less blood loss and a shorter hospital stay. Moreover, in some cases radiographic imaging is necessary, posing a diagnostic dilemma.

CONCLUSION

AAP is a major concern that requires early interventions to pinpoint the cause and manage the patient, properly.

摘要

背景

妊娠急腹症(AAP)定义为持续时间少于 24 小时的剧烈腹痛,可能需要紧急手术。诊断和处理都极具挑战性,因为它与怀孕期间正常的解剖和生理变化引起的疼痛有关。

目的

因此,了解这些变化及其对几乎每个系统的影响,将有助于我们理解 AAP 的主要病因,主要是非产科外科急症(例如,阑尾炎、胆囊炎)。

方法

本文强调了为每一位因非产科急性腹痛就诊于任何中心的孕妇提供全面护理的重要性。分别讨论了病因(外科要点)、妊娠腹腔镜方法和影像学决策,这是一个学术性和基于实践的有用总结。

结果与讨论

本文强调了为每一位因非产科急性腹痛就诊于任何中心的孕妇提供全面护理的重要性。分别讨论了病因(外科要点)、妊娠腹腔镜方法和影像学决策,这是一个学术性和基于实践的有用总结。结果与讨论:此外,文章中使用的思路和语言顺序旨在帮助读者理解主题,而不是告知他们。此外,由于可能对胎儿和胎儿酸中毒造成伤害,腹腔镜在妊娠中的应用仍然存在争议。尽管试验表明腹腔镜与出血量减少和住院时间缩短有关。此外,在某些情况下需要进行影像学检查,这构成了诊断上的困境。

结论

AAP 是一个重大关注点,需要早期干预以明确病因并妥善处理患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dbf/10591244/d6c83e8a8398/medarch-77-293-g001.jpg

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