on the diagnosis of acute intestinal obstruction during pregnancy（在怀孕期间急性肠梗阻的诊断）.docVIP

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2017-09-09 发布于浙江
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on the diagnosis of acute intestinal obstruction during pregnancy（在怀孕期间急性肠梗阻的诊断）.doc

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on the diagnosis of acute intestinal obstruction during pregnancy（在怀孕期间急性肠梗阻的诊断）

On the diagnosis of acute intestinal obstruction during pregnancy [Keywords] pregnancy diagnosis of acute intestinal obstruction Obstruction of the mother and child during pregnancy is a serious complication, bowel obstruction can cause not only anatomy and function of the change itself, and can lead to systemic physical disorder, as the uterus increases during pregnancy, so that intestinal obstruction during pregnancy differential diagnosis with some difficulty, coupled with both doctors and patients to radiation checks, anesthesia, surgery, concerns, and often delay the diagnosis and surgery has led to maternal and perinatal child mortality. intestinal obstruction during pregnancy and basically non-intestinal symptoms similar to pregnancy, but increased in late pregnancy the uterus occupied the abdominal cavity, bowel move to the rear or sides of the uterus, or due to postpartum abdominal wall relaxation, make signs of obvious, is not typical. Cause disease Pregnancy itself is causing intestinal obstruction, there is no conclusive and some authors believe that independent, clinical observation during pregnancy and the incidence of intestinal obstruction similar to non-pregnancy, but that some of the cases are due to pregnancy enlarged uterus squeeze the bowel, the asymptomatic adhesion formation due to compression or torsion obstruction. or will due to congenital mesenteric root distance is too short, push the uterus by gradually increasing, due to bowel activity is limited, over-stretch and squeeze and make the small intestinal volvulus, the occurrence of mechanical intestinal obstruction. In addition, pregnancy or as perforation peritonitis caused by mesenteric vascular thrombosis is more rare paralytic ileus. Although pregnancy, childbirth and the puerperium intestinal obstruction can occur, but clinical observation confirmed that 16 to 20 weeks of pregnancy the uterus ascend to the abdominal cavity, 32 to 36 weeks of pregnancy the fetal hea