Gabriel H, Cornet J, Barral G
Sem Hop. 1983 May 19;59(20):1523-5.
The authors recall the aetio-pathogenesis of intestinal obstruction in pregnancy and stress the difficulty of the diagnosis. They insist upon the importance of a simple and rapid surgical procedure which can be completed in the post-partum period if need be to prevent further episodes. From the obstetric point of view, the pregnancy usually progresses favourably, provided that an early delivery is induced routinely. Vaginal delivery is permissible, but should be assisted. The maternal prognosis depends on how early the diagnosis is made, but usually seems to be favourable. However, foetal mortality still remains high, between 10 and 15%.
作者回顾了妊娠期肠梗阻的病因病机，并强调了诊断的困难。他们强调了一种简单快速的手术程序的重要性，如果有必要，该手术可在产后阶段完成，以防止再次发作。从产科角度来看，只要常规诱导早产，妊娠通常进展顺利。允许阴道分娩，但应予以辅助。母亲的预后取决于诊断的及时性，但通常似乎较好。然而，胎儿死亡率仍然很高，在10%至15%之间。
