[Diaphragmatic hernia and pregnancy].
[Diaphragmatic hernia and pregnancy].
复制标题
[膈疝与妊娠]。
DOI：
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发表时间：
1956
期刊：
影响因子：
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通讯作者：
M. Dumont
中科院分区：
文献类型：
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作者：
M. Dumont
妊娠合并先天性或创伤性疝气是一种罕见的情况，但有一半的病例会死亡。并发症(呼吸窘迫、肠梗阻)在妊娠晚期、分娩期间和产后时间更为常见。对于无症状的患者，应在妊娠早期和中期进行专门的手术。在妊娠晚期，应观察胎儿成熟度，并在择期剖宫产时修补胎儿畸形。应避免主动分娩，因为在排出期腹压增加。如果发生意外分娩，如果不能进行剖宫产，应使用产钳。如果在任何时候出现呼吸窘迫或梗阻的迹象，无论怀孕年龄如何，都应该立即进行修复。怀孕前手术的疝气在怀孕期间可能会复发(这是作者的情况)。IL可能是一些在以前的妊娠中没有并发症的横隔疝可以在没有症状的情况下加重，并在以后的妊娠中发生并发症。
Congenital or traumatic hernia complicating pregnancy is a rarity but death occurs in half of the cases. Complications (respiratory distress, intestinal obstruction) are more frequent during the third trimester, during delivery and in the post-partum hours. In the asymptomatic patient, surgery should be performed specially in the first and second trimesters. During the third trimester, fetal maturity should be watched and the defect should be repaired at the time of elective cesarean section. Active labor should be avoided because of the increased abdominal pressure produced during the expulsion period. If an unexpected labor occurs, forceps application, if cesarean section could not be performed, should be realised. If signs of respiratory distress or of obstruction arise at any time, immediate repair should be undertaken, regardless of the age of pregnancy. An hernia operated before the pregnancy could recur during this one (this is the case of the author). Il is possible that some diaphragmatic hernias no complicated during previous pregnancies could be aggravated without symptoms and are complicated during a further pregnancy.