Mayer I E, Hussain H
Division of Gastroenterology, Maimonides Medical Center, Brooklyn, New York, USA.
Gastroenterol Clin North Am. 1998 Mar;27(1):1-36. doi: 10.1016/s0889-8553(05)70346-0.
In evaluating the pregnant patient with abdominal pain, the physician is presented with a wide range of diagnostic possibilities, including disorders that can occur in nonpregnant individuals and disorders that are unique to pregnancy. The development of modern laboratory testing methods and diagnostic imaging techniques has led to a decline in the morbidity and mortality from many of these disorders. With an understanding of the physiologic changes occurring during pregnancy, a careful history and physical examination, and judicious use of laboratory tests and imaging studies, the physician should be able to determine the cause of the patient's pain in the great majority of cases and, in the words of Babler, avoid "the mortality of delay."
在评估有腹痛症状的孕妇时，医生面临着广泛的诊断可能性，包括非孕妇也可能出现的疾病以及妊娠特有的疾病。现代实验室检测方法和诊断成像技术的发展已使许多此类疾病的发病率和死亡率有所下降。了解妊娠期间发生的生理变化、进行仔细的病史采集和体格检查，并明智地使用实验室检查和影像学研究，医生应能够在绝大多数病例中确定患者疼痛的原因，用巴布勒的话说，避免“延误造成的死亡”。
