妊娠合并急性阑尾炎25例临床分析

Clinical Analysis of 25 Cases of Acute Appendicitis during Pregnancy

目的:总结妊娠期急性阑尾炎的病史特点和诊治经验。方法:回顾性分析25例妊娠期急性阑尾炎的临床资料。结果:早孕期均出现转移性右下腹痛,麦氏点压痛及反跳痛;中晚期妊娠均出现右下腹痛及或脐周痛;92%病例出现血象升高;14例行阑尾切除术,11例行抗感染等保守治疗。结论:右下腹痛或及脐周痛、血象升高是诊断妊娠期急性阑尾炎较可靠的方法;治疗应强调早期手术,症状轻微病例可在严密观察下行保守治疗,病情加重应及时手术。

Objective：To summarize history characteristics and experience in diagnosis and treatment of acute appendicitis during pregnancy.Methods：To retrospective analyze 25 cases of acute appendicitis during pregnancy.Results：Patients suffered from metastatic right lower abdominal pain、McBurney＇ s point tenderness and rebound tenderness in the first trimester;suffered from right lower abdominal pain or Cullen pain in the second and third trimester;92% patients have elevated white blood cell;14 patients received appendectomy,11 patients received conservative treatment such as anti-infective.Conclusions：Right lower abdominal pain and or Cullen pain、 elevated white blood cell are diagnosed acute appendicitis during pregnancy Reliably;Early surgical treatment should be emphasized,patients who have some mild symptom can be treated conservatively and observed strictly,operation should be timely implemented if patients become Deteriorated.