临床误诊误治Issue(4)：49-51,3.DOI:10.3969/j.issn.1002-3429.2015.04.013
妊娠期急性阑尾炎32例报告并误诊原因分析
Acute Appendicitis During Pregnancy:an Analysis Report of 32 Misdiagnosed Cases
宋彬 1宋德锋 1冯野1
作者信息
- 1. 130000 长春，吉林大学中日联谊医院胃肠外科
- 折叠
摘要
Abstract
Objective To explore the key points of the diagnosis of acute appendicitis during pregnancy and treatment principle, to ensure the safety of the mother and the infant. Methods Retrospective analysis of the clinical data of 32 cases of pregnancy with acute appendicitis was conducted. Results In the group, there were 6 cases of early pregnancy and 26 cases of middle-late pregnancy, characterized by metastatic right lower quadrant abdominal pain in 26 cases, by right quadrant lower abdominal pain in 6 cases, some of them with nausea, vomiting and fever. 3 cases were misdiagnosed as early pregnancy reac-tion, 34 cases were misdiagnosed as acute gastroenteritis. The 7 initially misdiagnosed cases were 4 cases of early pregnant re-action and 3 cases of AGE and the misdiagnosis rate was 21. 9%. All of them were confirmed with diagnosis by physical exam-ination, ultrasound or surgical pathology. 30 cases of this group had postoperative recovery. 2 cases had abortion, 1 case had spontaneous abortion, 27 cases delivered the birth of full-term pregnancy, and the fetus were normal. 2 cases improved after conservative treatment, 1 case had relapse. Conclusion Careful physical examination, timely identification of symptoms and B ultrasonic examination are essential to improve the diagnosis rate of acute appendicitis during pregnancy;and once diagnosis is made, active surgical treatment is necessary to ensure the safety of the mother and the infant.关键词
妊娠/阑尾炎/误诊/早孕/胃肠炎Key words
Pregnancy/Appendicitis/Diagnostic error/Treatment/Gastroenteritis分类
医药卫生引用本文复制引用
宋彬,宋德锋,冯野..妊娠期急性阑尾炎32例报告并误诊原因分析[J].临床误诊误治,2015,(4):49-51,3.
