Jamieson C, Morosan M, Cameron M
Department of Gastroenterology, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK.
Department of Anaesthesia, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK.
Obstet Med. 2017 Jun;10(2):85-87. doi: 10.1177/1753495X16671231. Epub 2016 Oct 12.
This case addresses the difficulty in the initial diagnosis of severe Crohn's disease in pregnancy as well as the challenges of instituting remission therapy towards the end of second trimester. The patient's course was complicated by recurrent hospital admissions and intolerance to diet requiring temporary nasogastric feeding. Medical management included the use of biological agents during pregnancy, which allowed for better symptomatic control. She sustained no further complications and underwent a successful vaginal delivery of a healthy baby at 37 weeks' gestation.
本病例阐述了妊娠期间重度克罗恩病初始诊断的困难，以及孕中期晚期开始缓解治疗所面临的挑战。患者病程因反复入院及饮食不耐受需临时鼻饲而复杂化。医疗管理包括在孕期使用生物制剂，这有助于更好地控制症状。她未出现进一步并发症，并在孕37周时成功经阴道分娩一名健康婴儿。
