Lolis D, Pissiotis C, Creatsas G, Voros D, Kaskarelis D
Ann Chir Gynaecol. 1978;67(4):143-6.
Seventeen cases of acute appendicitis complicating pregnancy were analysed. The presenting symptoms were abdominal pain, nausea and anorexia. The usual physical findings were direct abdominal tenderness and rectal tenderness. Correct diagnosis was more difficult when gestation was advanced. This was reflected both by the severity of the disease process found at operation and by the increasing foetal mortality rate. Delay in diagnosis and treatment is the main factor causing high maternal and foetal death rates, especially when pregnancy is advanced.
分析了17例妊娠合并急性阑尾炎的病例。主要症状为腹痛、恶心和厌食。常见的体格检查发现为腹部直接压痛和直肠压痛。妊娠晚期时正确诊断更加困难。这在手术中发现的疾病严重程度以及胎儿死亡率的增加中都有所体现。诊断和治疗的延迟是导致母婴死亡率高的主要因素，尤其是在妊娠晚期时。
