中文摘要：

目的探讨妊娠合并急性阑尾炎的临床特点和诊疗策略。方法对2010年1月至2016年6月45例于该院手术确诊为妊娠合并急性阑尾炎病例的临床资料进行回顾性分析。结果 45例患者均出现腹痛表现,其中转移性右下腹痛15例（33.3%）,腹部压痛44例（97.8%）。术中发现阑尾坏疽4例,大网膜坏死1例。术后并发症共5例,其中切口愈合不良2例,感染性休克1例,炎性肠梗阻1例,不全性粘连性肠梗阻1例。术后11例患者（孕22^＋3～36^＋2周）出现先兆流产或先兆早产,最终流产1例（孕25^＋3周）,早产3例（孕28^＋4～30^＋）周）。结论妊娠合并急性阑尾炎以腹痛为主要临床表现,易出现严重并发症。

英文摘要：

Objective To explore the clinical characteristics,diagnosis and therapeutic strategies of acute appendicitis in pregnancy.Methods The clinical data of 45 cases with acute appendicitis in pregnancy,which had been diagnosed by surgeries in our hospital since Jan 2010 to Jun 2016,were retrospectively analysed.Results All patients had exhibited abdominal pain.Among them,15patients（33.3%）had exhibited shifting pain in right lower quadrant,and 44patients（97.8%）had abdominal tenderness.4cases with appendiceal gangrene and 1case with necrosis of the great omentum had been found during the surgeries.There were 5patients had occurred complications after the surgeries,including 2cases with poor wound healing,1case with septic shock,1case with inflammatory ileus and 1case with incompletely adhesive ileus.Threatened abortion and threatened premature delivery were found in 11patients（during 22^＋3 to 36^＋2 weeks gestation）after the surgeries.Finally,1patient occurred abortion（25^＋3 weeks gestation）and 3patients occurred premature delivery（during 28^＋4 to 30^＋4 weeks gestation）.Conclusion Abdominal pain as the main clinical manifestations of the pregnancy with acute appendicitis,prone to severe complications.