怀孕期间小肠阻塞可以用保守的管理来治疗吗? 一个审查审查
Xiao Shuang Ling1, Wei Cheng Anthony Brian Tian2, Goran Augustin3
1Department of General Surgery, Changi General Hospital, Singapore, Singapore. xiaoshuang89@gmail.com.
World journal of emergency surgery : WJES
|April 10, 2024
概括
怀孕期间小肠阻塞的保守管理对于没有肠道缺血或闭环阻塞的稳定患者是可行的. 在某些特定情况下,这种方法为手术提供了可行的替代方案.
科学领域:
- 产科和妇科 产科和妇科
- 胃肠病学 胃肠病学
- 手术管理的手术管理.
背景情况:
- 怀孕期间小肠阻塞 (SBO) 对母亲和胎儿都有重大风险.
- 延迟诊断和管理可能导致严重的并发症.
- 手术是典型的治疗方法,但有时也会采用保守的治疗方法.
研究的目的:
- 审查现有的关于SBO在孕妇患者中保守管理可行性的文献.
- 确定SBO在妊娠期间成功非手术治疗的标准.
主要方法:
- 使用PubMed和Embase进行了系统的文献搜索.
- 关键词包括"小肠阻塞"和"怀孕".
- 原创的研究文章被审查是否适合.
主要成果:
- 在特定条件下,孕妇SBO的保守管理是可行的.
- 患者的临床稳定性是前提条件.
- 排除肠道缺血和闭环阻塞对于保守治疗至关重要.
结论:
- 保守的管理是选择性患者在怀孕期间SBO的可行选择.
- 仔细选择患者,包括评估稳定性和排除关键条件,是关键.
- 在适当的情况下,这种方法可能可以避免手术干预.
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