怀孕中的孕产妇腹膜:一个系统的审查与治疗算法
Goran Augustin1,2, Diana Kovač3, Vesna Sokol Karadjole4
1Department of Surgery, University Hospital Centre Zagreb, Zagreb 10000, Croatia.
World journal of clinical cases
|October 30, 2023
概括
怀孕期间的隔膜 (DH) 是罕见的,但可能危及生命. 早期诊断和及时干预对于HD病例中母亲和胎儿的良好结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 外科胃肠道外科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 腹膜 (DH) 在怀孕期间非常罕见,缺乏确定的诊断和治疗指南.
- 怀孕期间DH的罕见性需要对现有文献进行审查,以告知临床实践.
研究的目的:
- 巩固和定义孕妇DH的最佳诊断方法.
- 概述怀孕期间DH最合适的治疗策略.
主要方法:
- 使用PubMed,PubMed Central和谷歌学者在多种语言进行全面的文献搜索.
- 遵守PRISMA协议进行系统审查,包括与孕产妇腹膜和怀孕有关的特定搜索术语.
- 从158个收集的病例中提取人口统计,成像,手术和产科数据.
主要成果:
- 随着时间的推移,先天性形成了越来越多的DH病例.
- 怀孕期间DH的诊断准确率为50%;DH类型没有影响母亲或新生儿的结果.
- 短暂的呈现 (不到3天) 显著增加了孕妇患者窒息的风险.
结论:
- 隔膜的症状可以模仿常见的胸部疾病,导致诊断延迟和死亡率增加.
- 孕妇出现腹痛,呼吸不全,胸痛和崩时应考虑DH.
- 早期诊断和干预,以及拟议的管理算法,对于HD怀孕中孕产妇和胎儿的良好结果至关重要.
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