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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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