Engelhardt T C, Kerstein M D
Department of Surgery, Tulane University School of Medicine, New Orleans, LA 70112.
South Med J. 1989 Nov;82(11):1441-3. doi: 10.1097/00007611-198911000-00028.
A 32-year-old pregnant black woman with multiple gastrointestinal symptoms was operated on because of peritoneal signs. Infarcted bowel caused by venous thrombosis was identified and resected. Laboratory studies, even in retrospect, were not diagnostic. The patient required extensive fluid resuscitation during the perioperative period; the perinatal period was managed by self-administered subcutaneous heparin. A normal birth via the vaginal route ensued.
一名32岁的黑人孕妇出现多种胃肠道症状,因腹膜征接受手术。术中发现由静脉血栓形成导致的梗死肠段并予以切除。即便回顾性分析,实验室检查也未能确诊。患者围手术期需要大量液体复苏;围生期通过自行皮下注射肝素进行管理。随后经阴道顺产。