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一例妊娠期肠梗阻由于我们缺少处理经验,因中毒性休克而死亡。为吸取教训,改进工作,现结合文献报告如下。病历摘要女,28岁。妊娠36周,因腹痛、恶心一天,于1982年2月4日入我院妇产科。初诊为妊娠36周、胃肠炎。次日下午经外科会诊,诊断为粘连性肠梗阻,采用保守疗法。过去有腹部手术史。在保守疗法中,发生中毒性休克,胎心停跳,于2月6日10时中转手术治疗。手术证实为粘连性肠梗阻,小肠部分坏死,行部分小肠切除,肠对端吻合术。术后虽经积极治疗,但终因中毒性休克于术后第1天死亡。讨论妊娠期肠梗阻发病率很低。较早期的报告为7000～66000例妊娠妇女中有1例发生。1946～1950年Grace医院报告13,442例产科病人中有11例发生肠梗阻,发病率为0.08％。本院从1966年10月到1982年2月外科收治各种肠梗阻病人500例,同时产科临床住院5155例,只有1例妊娠并发粘连性肠梗阻,占外科肠梗阻病人的0.2％,占妊娠期肠梗阻发病率的0.019％,是妊娠期很少见的并发病。发病原因较多,以粘连性肠梗阻为常见,平时可无症状,妊娠后期子宫增大时,使粘连处或粘连带拉
One case of pregnancy ileus died of toxic shock due to our lack of treatment experience. In order to learn the lesson and improve the work, the report is as follows. Female medical record, 28 years old. 36 weeks of pregnancy, due to abdominal pain, nausea one day, February 4, 1982 into our hospital obstetrics and Gynecology. First visit for 36 weeks of pregnancy, gastroenteritis. The next day by the surgical consultation, diagnosed as adhesive intestinal obstruction, conservative treatment. In the past there was a history of abdominal surgery. In conservative therapy, toxic shock occurs, fetal heart rate stops, at 10 o’clock on February 6 transit surgery. Surgical confirmed intestinal obstruction, part of the small intestine necrosis, partial small bowel resection, intestinal anastomosis. Although after active treatment, but eventually due to toxic shock in the first day after the death. Discuss the incidence of intestinal obstruction during pregnancy is very low. Earlier reports occurred in 1 in 7,000 to 66,000 pregnant women. Grace Hospital reported intestinal obstruction in 13,442 obstetric patients in 1946-1950 at a incidence rate of 0.08%. The hospital from October 1966 to February 1982 surgical patients admitted to a variety of intestinal obstruction in 500 cases, while obstetric clinical hospital 5155 cases, only 1 case of pregnancy complicated with adhesive intestinal obstruction, accounting for surgical bowel obstruction in patients with 0.2%, accounting for pregnancy The incidence of intestinal obstruction 0.019%, is a rare pregnancy and pregnancy disease. Pathogenesis more adhesive intestinal obstruction is common, usually asymptomatic, increased uterus during late pregnancy, the adhesion or adhesions with pull