妊娠合并肠梗阻  

Intestinal obstruction in pregnancy

作　　者：连岩 王谢桐[1,2] 

机构地区：[1]山东省妇幼保健院妇产科国家卫计委生育调控技术重点实验室,济南250014 [2]山东大学附属省立医院妇产科,济南250021

出　　处：《中华产科急救电子杂志》2016年第1期10-14,共5页Chinese Journal of Obstetric Emergency（Electronic Edition）

基　　金：泰山学者工程专项经费(ts201511101)

摘　　要：妊娠合并肠梗阻是重要的妊娠外科合并症,延误治疗可导致较高的病死率和胎儿丢失率。早期识别、诊断和处理,是改善妊娠期肠梗阻预后的关键。CT检查对肠梗阻的判断具有明显优势,超声、磁共振检查、实验室特异性标记物检测、结肠镜检查有益于诊断。推荐保守治疗,保守治疗无效者应及时施行手术治疗;急性结肠假性梗阻是剖宫产术后需要重视的特殊类型。Delayed treatment of pregnancy complicated with intestinal obstruction, which is an important complication of pregnancy, can cause a high mortality rate and fetal loss rate. Early identification, early diagnosis and early treatment are the key points to improve the prognosis of pregnancy complicated with intestinal obstruction.CT examination has obvious advantages in judgments of intestinal obstruction.The ultrasound, magnetic resonance imaging, laboratory specific markers and colonoscopy are conducive to diagnose intestinal obstruction during pregnancy.Conservative treatment is recommended.But when it fails, surgical treatment should be implemented timely.Acute colonic pseudo obstruction is a special type of postoperative cesarean section.

关 键 词：肠梗阻 妊娠 诊断 综合疗法 急性结肠假性梗阻 

分 类 号：R714.255[医药卫生—妇产科学]