Humphrey M D, Ayton R A
Aust N Z J Obstet Gynaecol. 1983 Feb;23(1):35-8. doi: 10.1111/j.1479-828x.1983.tb00156.x.
This series of 5 cases of appendicitis complicating all stages of pregnancy and the puerperium illustrates particularly the potentially rapid course of the disease and the need to perform laparotomy on suspicion. Diagnosis may be aided, in later pregnancy, by the finding of pain increments when the fetus moves, as well as by the use of Alders test. Though a muscle-splitting incision over the point of maximal tenderness is usually suggested, we recommend a right paramedian incision when the fetus is viable as it gives greater flexibility.
这5例阑尾炎并发妊娠各期及产褥期的病例系列特别说明了该病可能的快速病程以及在怀疑时进行剖腹手术的必要性。在妊娠后期，胎儿活动时疼痛加剧以及使用奥尔德斯试验可能有助于诊断。虽然通常建议在最压痛点做肌肉分离切口，但当胎儿存活时，我们建议做右侧旁正中切口，因为它具有更大的灵活性。
