Jhobta R S, Attri A K, Jhobta A
Indira Gandhi Medical College, Shimla, India.
Int J Gynaecol Obstet. 2007 Jan;96(1):24-7. doi: 10.1016/j.ijgo.2006.07.010. Epub 2006 Oct 27.
Bowel injury is an uncommonly reported yet serious complication of induced abortion, which is often performed illegally by persons without any medical training in developing countries. A sudden increase in cases prompted the authors to analyze this problem.
A retrospective review was done of 11 cases of bowel injury following induced abortion seen over 2 years at Government Medical College and Hospital, Chandigarh, India.
Young, married women of low socioeconomic status with a strong preference for male children were the predominant recipients of induced abortion in India. The terminal ileum and pelvic colon were the most commonly injured portions of the bowel owing to their anatomic locations.
Preoperative resuscitation, then resection with exteriorization of bowel and thorough peritoneal lavage, is the treatment for bowel injury incurred during induced abortion when the patient presents late.
肠损伤是人工流产中一种报道较少但严重的并发症，在发展中国家常由未接受任何医学培训的人员非法进行人工流产时发生。病例突然增加促使作者分析这一问题。
对印度昌迪加尔政府医学院及医院2年内所见的11例人工流产后肠损伤病例进行回顾性分析。
社会经济地位低下、强烈偏好男孩的年轻已婚女性是印度人工流产的主要对象。由于其解剖位置，回肠末端和盆腔结肠是肠道最常受伤的部位。
对于人工流产时发生肠损伤且就诊较晚的患者，治疗方法是先进行术前复苏，然后行肠切除外置术并彻底进行腹腔灌洗。
