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妊娠合并小肠梗阻能否采用保守治疗?综述。

Can small bowel obstruction during pregnancy be treated with conservative management? A review.

机构信息

Department of General Surgery, Changi General Hospital, Singapore, Singapore.

Department of General Surgery, Singapore General Hospital, Singapore, Singapore.

出版信息

World J Emerg Surg. 2024 Apr 10;19(1):13. doi: 10.1186/s13017-024-00541-y.

Abstract

BACKGROUND

Small bowel obstruction can occur during pregnancy, which, if missed, can lead to dire consequences for both the mother and foetus. Management of this condition usually requires surgical intervention. However, only a small number of patients are treated conservatively.

OBJECTIVE

The objective was to review the literature to determine the feasibility of conservative management for small bowel obstruction.

METHODS

A systematic search of the PubMed and Embase databases was performed using the keywords [small bowel obstruction AND pregnancy]. All original articles were then reviewed and included in this review if deemed suitable.

CONCLUSION

Conservative management of small bowel obstruction in pregnant women is feasible if the patient is clinically stable and after ruling out bowel ischaemia and closed-loop obstruction.

摘要

背景

小肠梗阻可在妊娠期间发生,如果未能及时诊断,可能会对母婴双方造成严重后果。这种情况的处理通常需要手术干预。然而,只有少数患者接受保守治疗。

目的

本研究旨在回顾文献,以确定保守治疗小肠梗阻的可行性。

方法

使用“[小肠梗阻 AND 妊娠]”这组关键词,对 PubMed 和 Embase 数据库进行系统检索。然后,对所有原始文章进行综述,如果认为合适,则纳入本综述。

结论

如果孕妇临床状况稳定,且已排除肠缺血和闭袢性梗阻,保守治疗小肠梗阻是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/43ac/11007914/e74852f9c86a/13017_2024_541_Fig1_HTML.jpg

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