论文部分内容阅读
急性阑尾炎是孕期常见并发病。并发率为1∶704至1∶3,463。母儿死亡率亦随其病率而增加。作者为研究该问题,对Vancouver医院10年内24例住院病人进行分析。急性阑尾炎术前正确诊断率为79%(19例),另5例为正常阑尾。发病与年龄、孕次及孕期无关。但是由于孕晚期子宫增大,致使防卫困难。16例未穿孔者由住院至手术平均为8小时,而3例穿孔者平均为18.3小时。母体虽无死亡,但术后病率增高。1例阑尾穿孔形成脓肿发生肠梗阻,10天后再开腹,因疑为Crohn氏病(节段性回肠炎)而行短路手术。1例未穿孔者,术后创口形成大脓肿,而行引流。3例穿孔病人诱发早产:1例
Acute appendicitis is common during pregnancy and disease. The incidence rate was 1:704 to 1: 3, 463. Maternal and child mortality also increases with its prevalence. To investigate the problem, the authors analyzed 24 hospitalized patients at Vancouver Hospital over a 10-year period. The correct diagnosis of acute appendicitis was 79% (19 cases), and the other 5 cases were normal appendix. Incidence and age, pregnancy times and pregnancy unrelated. However, due to increased uterus in late pregnancy, resulting in defensive difficulties. 16 cases of non-perforation from hospital to surgery, an average of 8 hours, and 3 cases of perforators, an average of 18.3 hours. Although no maternal death, but postoperative morbidity increased. One patient had perforation of the abscess to develop intestinal obstruction and another 10 days to open the abdomen. The patient was short-circuited because of suspected Crohn’s disease (Crohn’s disease). One case of non-perforation, wounds after the formation of a large abscess, and drainage. Three cases of perforation induced premature labor: one case