怀孕期间的急性尾炎:七个病例的回顾性病例系列
1General Surgery Department, National Maternal and Child Health Center, 31A, Street 47 (France Street), Srah Chak Sangkat, Doun Penh Khan, Phnom Penh 120408, Cambodia.
Journal of surgical case reports
|February 9, 2026
概括
怀孕期间急性尾炎的延迟诊断,以较长的咨询时间和较高的C反应蛋白 (CRP) 表示,预测并发症. 及时的超声波和手术干预对于改善母亲和胎儿的结果至关重要.
科学领域:
- 产科和妇科 产科和妇科
- 手术紧急情况 手术紧急情况
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 急性尾炎是怀孕中最常见的非产科手术紧急情况.
- 由于解剖学变化和非典型症状,诊断具有挑战性,增加了母胎风险.
- 早期干预对于缓解并发症至关重要.
研究的目的:
- 分析患有急性尾炎的孕妇的流行病学,临床,诊断,治疗和结局数据.
- 为了确定妊娠期间复杂尾炎的预测因素.
- 评估诊断和治疗策略的有效性.
主要方法:
- 七名怀孕妇女在2023年1月至2024年12月期间接受急性尾炎治疗的回顾性研究.
- 对人口统计,临床表现,诊断成像 (超声波),手术程序和患者结果的分析.
- 描述性和推断性统计分析,包括对C反应蛋白 (CRP) 水平的评估和咨询延迟.
主要成果:
- 大多数病例 (57%) 发生在妊娠的第三季度;患者的平均年龄为31岁.
- 延迟咨询 (平均5.2天与2.3天) 和升高的CRP (>50毫克/升) 与复杂的尾炎显著相关 (分别P<0.05和P=0.027).
- 超声波在86%的病例中证实了尾炎,非典型的表现在第三季度更为常见. 一个胎儿死亡发生在早产中;没有报告母亲死亡.
结论:
- 延迟咨询和CRP水平升高是孕妇中复杂尾炎的重要预测因素.
- 系统性超声波在怀孕期间诊断尾炎中起着至关重要的作用,特别是在异常呈现的情况下.
- 快速诊断和及时的手术干预对于尽量减少孕产妇和胎儿的发病率至关重要.
相关概念视频
Appendicitis-I: Introduction
2.6K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
2.6K
Appendicitis-II: Diagnostic Studies and Management
589
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
589
Resistors In Series
6.7K
A resistor is an ohmic device that limits the flow of charge in a circuit. Most circuits have more than one resistor. If several resistors are connected together and connected to a battery, the current supplied by the battery depends on the equivalent resistance of the circuit. The equivalent resistance of a combination of resistors depends on both their individual values and how they are connected. The simplest combination of resistors is the series combination.
In a series circuit, the...
In a series circuit, the...
6.7K
Series Resonance
863
The RLC circuit impedance is defined as the ratio of the supply voltage to the circuit current. Resonance in such a circuit occurs when the imaginary part of this impedance equals zero. This specific condition means that the inductive reactance is exactly equal to the capacitive reactance. The frequency at which this happens is known as the resonant frequency. Mathematically, the resonant frequency is inversely proportional to the square root of the product of the inductance (L) and capacitance...
863
Series and Parallel Capacitors
9.7K
Capacitors, fundamental components in electronic circuits, can be connected in series and/or parallel configurations. Each configuration has different impacts on the overall behavior of the circuit.
First, consider capacitors connected in series to a battery. In this configuration, the plate connected to the battery's positive terminal develops a positive charge, while the plate attached to the negative terminal becomes negatively charged. An equal magnitude of charge is induced on the...
First, consider capacitors connected in series to a battery. In this configuration, the plate connected to the battery's positive terminal develops a positive charge, while the plate attached to the negative terminal becomes negatively charged. An equal magnitude of charge is induced on the...
9.7K
Trigonometric Fourier series
815
Fourier series is a foundational mathematical technique that decomposes periodic functions into an infinite series of sinusoidal harmonics. This method enables the representation of complex periodic signals as sums of simple sine and cosine functions, facilitating their analysis and interpretation in various fields, including signal processing, acoustics, and electrical engineering.
The trigonometric Fourier series specifically expresses a periodic function with a defined period T using sine...
The trigonometric Fourier series specifically expresses a periodic function with a defined period T using sine...
815


