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中华产科急救电子杂志 ›› 2024, Vol. 13 ›› Issue (03) : 129 -134. doi: 10.3877/cma.j.issn.2095-3259.2024.03.001

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妊娠期常见非产科急腹症的诊断与处理
刘燕燕1, 冯玲1,()   
  1. 1. 430030 武汉,华中科技大学同济医学院附属同济医院妇产科
  • 收稿日期:2024-07-01 出版日期:2024-08-18
  • 通信作者: 冯玲
  • 基金资助:
    湖北省自然科学基金计划项目(2023AFB892)

Diagnosis and treatment of common non-obstetric acute abdomen during pregnancy

Yanyan Liu, Ling Feng()   

  • Received:2024-07-01 Published:2024-08-18
  • Corresponding author: Ling Feng
引用本文:

刘燕燕, 冯玲. 妊娠期常见非产科急腹症的诊断与处理[J]. 中华产科急救电子杂志, 2024, 13(03): 129-134.

Yanyan Liu, Ling Feng. Diagnosis and treatment of common non-obstetric acute abdomen during pregnancy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2024, 13(03): 129-134.

妊娠期非产科急腹症是妊娠期发生的由非产科因素引起的以急性腹痛为主要症状的综合征[1],包括急性阑尾炎、急性胆囊炎、急性肠梗阻、泌尿系结石、卵巢囊肿蒂扭转等[2],病情严重时可对母儿健康造成极大危害。妊娠期急腹症往往由于妊娠导致症状与体征不典型,与非孕期相比诊断相对困难,妊娠早期的恶心、呕吐、食欲缺乏等症状掩盖了急腹症的消化道症状,妊娠中晚期又因子宫增大、盆腔脏器移位,使体征变化不同于非孕期[3]

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