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《Chongqing Medicine》 2017-15
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Clinical analysis of 45 cases of acute appendicitis in pregnancy

Liu Heying;Xia Huan;Yan Xiaoli;Wang Dan;Chang Qing;Department of Obstetrics and Gynecology,Southwest Hospital,Third Military Medical University;  
Objective To explore the clinical characteristics,diagnosis and therapeutic strategies of acute appendicitis in pregnancy.Methods The clinical data of 45 cases with acute appendicitis in pregnancy,which had been diagnosed by surgeries in our hospital since Jan 2010 to Jun 2016,were retrospectively analysed.Results All patients had exhibited abdominal pain.Among them,15patients(33.3%)had exhibited shifting pain in right lower quadrant,and 44patients(97.8%)had abdominal tenderness.4cases with appendiceal gangrene and 1case with necrosis of the great omentum had been found during the surgeries.There were 5patients had occurred complications after the surgeries,including 2cases with poor wound healing,1case with septic shock,1case with inflammatory ileus and 1case with incompletely adhesive ileus.Threatened abortion and threatened premature delivery were found in 11patients(during 22~(+3) to 36~(+2) weeks gestation)after the surgeries.Finally,1patient occurred abortion(25~(+3) weeks gestation)and 3patients occurred premature delivery(during 28~(+4) to 30~(+4) weeks gestation).Conclusion Abdominal pain as the main clinical manifestations of the pregnancy with acute appendicitis,prone to severe complications.
【Fund】: 重庆市社会民生科技创新专项课题(cstc2015shmszx120065)
【CateGory Index】: R714.255
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【Citations】
Chinese Journal Full-text Database 3 Hits
1 DAI Ming,SUN Sheng,ZHOU Yan-fen.Department of Obstetrics and Gynecology,Jiujiang University Clinic College/Hospital,Jiujiang 332000,Jiangxi Province,China;Clinical Analysis of 30 Pregnancy Cases Complicated with Acute Appendicitis[J];国际妇产科学杂志;2012-04
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【Co-citations】
Chinese Journal Full-text Database 9 Hits
1 Liu Heying;Xia Huan;Yan Xiaoli;Wang Dan;Chang Qing;Department of Obstetrics and Gynecology,Southwest Hospital,Third Military Medical University;;Clinical analysis of 45 cases of acute appendicitis in pregnancy[J];重庆医学;2017-15
2 Chen Dunjin;Sun Wen;;Early identification and emergency treatment of surgical diseases presenting in pregnancy[J];中华产科急救电子杂志;2016-01
3 Chen Yanhong;Chen Dunjin;Ke Li;Liu Yangqi;Lin Weiyan;Li Xiaomei;Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Guangzhou Medical University;;Clinical analysis of 81 pregnancies complicated with acute appendicitis[J];中华产科急救电子杂志;2016-01
4 HU Bin;SHI Ying-ying;ZHANG Qing;ZHANG Ke;Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Zhengzhou University;;Surgical experience of Mid-term pregnancy with appendicitis 65 cases[J];医药论坛杂志;2015-09
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6 ZHANG Yanmei,TIAN Ye,ZHU Jiang(1 Department of Obstetrics,Xinjiang Uygur Autonomous Region People′s Hospital,Urumqi 830001,China;2 Xinjiang Medical University,Urumqi 830054,China;3 Urumqi 830000,China);A clinical analysis of acute appendicitis during pregnancy[J];新疆医科大学学报;2013-06
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8 ZHANG Wenwei,CAO Tiansheng Southern Medical University,Guangzhou 510515,China;Clinical experience in early pregnancy appendicitis with laparoscopic surgery[J];中国医药导报;2011-20
9 XUE Yu-zhen1,LV Hui-zeng2,CHEN Tu-feng3,ZHENG Zong-heng3,ZHOU Ru-jian2(1.Department of Obstetrics and Gynecology,Hexian Memorial Hospital,the Affiliated Hospital of Nanfang Medical University,Guangzhou 511400,Guangdong Province,China;2.Department of General Surgery,the Gangwan Hospital Affiliated to Guangzhou Medical University,Guangzhou 510700,Guangdong Province,China;3.Department of Gastrointestinal Surgery,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,Guangdong Province,China);Transverse abdominal incision sutured by single layer extraperitoneal suture for purulent appendicitis during gestational period[J];新乡医学院学报;2011-03
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1 QIN Min, ZHU Liping, ZHOU Binghua, et al. Shanghai First Maternity and Infant Health Hospital Shanghai 200040, China;Analysis on Maternal Deaths from Pregnancy Complicated with Acute Abdominal Diseases in Shanghai during 1989~1998[J];中华妇产科杂志;2000-12
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