Anderson J B, Turner G M, Williamson R C
Department of Surgery, Bristol Royal Infirmary.
J R Soc Med. 1987 Aug;80(8):492-4. doi: 10.1177/014107688708000812.
Four patients underwent emergency colectomy during pregnancy or the puerperium for complications of ulcerative proctocolitis. Three had inactive colitis at conception, while in the fourth the disease started during pregnancy. Three patients required subtotal colectomy and ileostomy for toxic dilatation during the third trimester or within 5 days of delivery, and the fourth underwent proctocolectomy postpartum for intractable colitis. There were no maternal deaths but 2 of 4 infants died. One child weighing 1.4 kg survived vaginal delivery during the 33rd week of pregnancy, 2 weeks after his mother had undergone emergency colectomy.
4例患者在孕期或产褥期因溃疡性直肠结肠炎并发症接受了急诊结肠切除术。3例在受孕时患有静止期结肠炎，而第4例在孕期发病。3例患者在孕晚期或分娩后5天内因中毒性巨结肠需要行结肠次全切除术和回肠造口术，第4例产后因顽固性结肠炎接受了全直肠结肠切除术。无孕产妇死亡，但4例婴儿中有2例死亡。1名体重1.4kg的婴儿在其母亲接受急诊结肠切除术后2周，于妊娠第33周经阴道分娩存活。
