De Rosa G, Peppas C, D'Ambrosio R, Rapicano G, Vincenti B, Martino M, Martino A
Dipartimento di Emergenze, Osservazione Chirurgica Polispecialistica, Regione Campania, USI 40 Napoli.
Minerva Chir. 1996 Nov;51(11):939-44.
The authors' aim is to review the medical literature dealing with diagnostic and therapeutical problems, after observations in pregnancy because of acute appendicitis in 9 cases. Diagnosis is difficult because of the aspecificity and the alterations both of the site of symptoms and clinical manifestations, particularly during the last period of gestation. As there is an upward displacement of the viscus by the pregnant uterine. Notwithstanding the use of some not invasive methods, such as graded-compression sonography, the diagnosis is always effected by the clinical examination. Surgical treatment is always possible in the presence of acute appendicitis, as pregnancy isn't a reason for delay. The maternal mortality is at a zero level, the fetal one varies from 2% to 43% in cases of perforated appendicitis.
作者的目的是在对9例因急性阑尾炎而怀孕的病例进行观察后,回顾处理诊断和治疗问题的医学文献。由于症状部位和临床表现的非特异性及改变,尤其是在妊娠后期,诊断较为困难。因为妊娠子宫使脏器向上移位。尽管使用了一些非侵入性方法,如灰阶超声检查,但诊断仍总是通过临床检查来实现。在存在急性阑尾炎的情况下,手术治疗总是可行的,因为妊娠不是延迟治疗的理由。孕产妇死亡率为零,在阑尾穿孔的病例中,胎儿死亡率在2%至43%之间。