Conventional methods of western medicine for treating pregnancy complicated with intestinal obstruction

Conventional methods of Western medicine for treating pregnancy complicated with intestinal obstruction:

1. The treatment of intestinal obstruction during pregnancy is the same as that during non-pregnancy. Non-strangulated intestinal obstruction can be treated conservatively, i.e. gastrointestinal decompression, intravenous infusion, correction of water and electrolyte disorders, and injection of antibiotics; if peritonitis has not been relieved or occurs after 48 hours, surgery should be performed as soon as possible. Patients often lose a large amount of fluid due to vomiting, intestinal wall edema, large amounts of intestinal exudation, and gastrointestinal decompression, leading to hypovolemia, shock, and renal failure. Strangulated intestinal obstruction should be treated with surgery as soon as possible, and the above-mentioned non-surgical treatments should be adopted.

2. The operation should be performed through a longitudinal incision. Try to avoid interfering with the uterus in the second trimester of pregnancy, and continue to protect the fetus after surgery. If the pregnancy exceeds 34 weeks and the fetal lungs are estimated to be mature, a cesarean section should be performed first to shrink the uterus, and then the abdominal cavity should be checked, otherwise the enlarged uterus will be difficult to expose and operate. An experienced surgeon must be asked to check all the intestines, because there may usually be more than one adhesion obstruction. If there is intestinal necrosis, partial intestinal resection and consistency surgery must be performed. Death cases are misdiagnosed, delaying surgery, leading to intestinal necrosis, perforation, peritonitis, toxic shock, DIC, renal failure, etc.

3. Pseudo-obstruction, or Ogilvie syndrome, is a non-organic intestinal obstruction caused by colon dysfunction, 10% of which; abdominal distension, nausea, and constipation occur after delivery, and the abdomen is distended but soft during examination. In X-ray examination, excessive distension of the colon can directly reach the spleen area, but there is no mechanical obstruction at the distal end. If the colon expands to the critical value of 9 to 12 cm, it is easy to perforate, leading to infection and shock and death. When the colon does not expand to the critical value, conservative treatment can be used, including gastrointestinal decompression, infusion to correct water and electrolyte disorders, and anal tube exhaust. If there is no improvement after 72 hours of conservative treatment, or when the colon expansion reaches the critical value, surgical treatment should be performed.