Abboud P, Messing B, Quéreux C, Napoléone C, Zeitoun P, Wahl P
Service de Gynécologie-Obstétrique, Hôpital Maison-Blanche, Reims.
J Gynecol Obstet Biol Reprod (Paris). 1996;25(6):608-11.
We report two cases of pregnancy in patients with Crohn's disease. For the first woman, non-exclusive ambulatory parenteral nutrition was given during the entire duration of gestation in a patient with short bowel syndrome, maintaining good nutritional status and normal delivery at term of an eutrophic infant; Crohn's disease relapsed one month post partum. In the second patient, Crohn's disease was less severe and remission occurred without treatment. Prophylactic cesarean was required due to multiple perineal scars resulting from surgical treatment of Crohn-related fistulae. The main problems with pregnancy in patients with Crohn's disease are discussed.
我们报告了两例克罗恩病患者怀孕的病例。对于第一位女性，一名患有短肠综合征的患者在整个妊娠期接受了非排他性的门诊肠外营养，维持了良好的营养状况，并足月顺产了一名营养良好的婴儿；产后一个月克罗恩病复发。在第二位患者中，克罗恩病病情较轻，未经治疗即出现缓解。由于克罗恩病相关瘘管手术治疗导致多处会阴瘢痕，需要进行预防性剖宫产。文中讨论了克罗恩病患者怀孕的主要问题。
