妊娠期非产科急腹症:文献综述。

Humood A Alsadery, Omar A Bamalan, Hussain J Aljubran, Lama J Albaish, Basmah Z Al Ghanim
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摘要

背景:妊娠期急腹症(AAP)是指持续时间少于24小时的剧烈腹痛,可能需要紧急手术。这是一个具有挑战性的诊断和管理情况,因为它与妊娠期间发生的正常解剖和生理变化引起的疼痛有关。目的:因此,了解这些变化及其对几乎每个系统的影响,将有助于我们了解AAP即将发生的原因,主要是非产科手术紧急情况(如阑尾炎、胆囊炎)。方法:本文强调了全面护理的重要性,应为每一位在任何中心就诊的非产科急腹症孕妇提供全面护理。分别讨论了(手术珍珠)、腹腔镜入路和妊娠期放射学模式决策的原因,这是一个基于学术和实践的有益总结。结果和讨论:这篇文章强调了全面护理的重要性,应该为每一位到任何中心就诊的非产科急腹症孕妇提供全面护理。分别讨论了(手术珍珠)、腹腔镜入路和妊娠期放射学模式决策的原因,这是一个基于学术和实践的有益总结。结果和讨论:此外,文章中使用的思想和语言顺序是为了帮助读者理解主题,而不是告知他们。此外,腹腔镜在妊娠中的应用仍然令人担忧,因为可能会对胎儿造成伤害和胎儿酸中毒。尽管如此,试验表明腹腔镜手术可以减少失血和缩短住院时间。此外,在某些情况下,射线照相成像是必要的,这造成了诊断困境。结论:AAP是一个主要问题,需要早期干预,以查明病因并妥善管理患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Non-obstetric Acute Abdomen in Pregnancy: a Review of Literature.

Background: Acute abdomen in pregnancy (AAP) is defined as intensive abdominal pain lasting less than 24 hours that may require urgent surgery. It is a challenging situation to diagnose and manage, as it is associated with pain due to the normal anatomical and physiological changes that occur during pregnancy.

Objective: Therefore, understanding these changes and their effect on almost every system, will help us appreciate the upcoming causes of AAP, mainly the non-obstetric surgical emergencies (e.g., appendicitis, cholecystitis).

Methods: This article highlights the importance of the well-rounded care that should be offered to every pregnant patient presenting to any center with a Non-obstetric Acute Abdomen. The causes are discussed separately (for surgical pearls), laparoscopic approach and radiologic modality decision-making in pregnancy, which is an academic and a practice-based helpful summary.

Results and discussion: This article highlights the importance of the well-rounded care that should be offered to every pregnant patient presenting to any center with a Non-obstetric Acute Abdomen. The causes are discussed separately (for surgical pearls), laparoscopic approach and radiologic modality decision-making in pregnancy, which is an academic and a practice-based helpful summary. Results and Discussion: In addition, the sequence of ideas and language used in the article was based to help the reader understand the topic, rather than inform them about it. In addition, the utility of laparoscopy in pregnancy remains a concern due to the possible risk of injury to the fetus and fetal acidosis. Although, trials showed that laparoscopy was associated with less blood loss and a shorter hospital stay. Moreover, in some cases radiographic imaging is necessary, posing a diagnostic dilemma.

Conclusion: AAP is a major concern that requires early interventions to pinpoint the cause and manage the patient, properly.

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