妊娠期合并妇外科急腹症204例

The diagnosis and treatment principle of gestationai period complicating acute abdomen of OG and surgery

目的 探讨妊娠期急腹症的分类以及妊娠期各种常见急腹症的临床特点和处理原则。方法 回顾性分析近4年妇产科和外科收治的妊娠期急腹症204例的临床资料。结果 妊娠期妇产科急腹症162例,无死亡,以异位妊娠破裂占绝大多数,共146例（90.13%）。妊娠期外科急腹症42例,死亡1例,以急性阑尾炎居多,共30例（71.43%）。结论 异位妊娠破裂和急性阑尾炎为妊娠期两大急腹症,处理妊娠期急腹症时妊娠不是手术的禁忌证,妊娠期急腹症应积极手术治疗,但需同时顾及孕妇和胎儿的安全。

Objective To investigate the classification of the gestational period complicating acute abdomen and its clinical characteristic and the treatment principle. Methods To retrospectively analyse the clinical data of 204 cases of gestational period complicating acute abdomen that received treatment in our department of gynecology and obstetrics and the surgery during the last 4 years. Results There were 162 cases of gestational period complicating acute abdomen of OG and none dead, and the ruptured ectopic pregnancy of 146 cases （90.13%） was the majority. There were 42 cases gestational period complicating acute abdomen of surgery and 1 case dead, and the acute appendicitis of 30 cases （71.43%） was the majority. Conclusion The ruptured ectopic pregnancy and the acute appendicitis are the most important two acute abdomens during gestational period. The gestation is not surgical contraindication in the treatment of these kinds of acute abdomen. These patients should receive operations, but we should take the safety of the pregnancy women and the fetus into account at the same time.