妊娠期肠梗阻是一种少见但严重的外科急腹症，其存在一些临床特征，辅助检查手段有限，容易漏诊或延误治疗，处理不当可导致不良妊娠结局。诊疗的关键是了解妊娠期肠梗阻的特点，重视早期识别危险因素，一旦出现典型症状和阳性体征，应高度怀疑肠梗阻可能，诊疗过程强调多学科合作，处理原则与非妊娠期相同，非绞窄性肠梗阻可在严密观察下保守治疗，病情进展或考虑绞窄性肠梗阻时应尽快手术，决定外科手术方案的同时应联合外科、产科及母胎医学专科医生根据妊娠孕周权衡母胎风险与利弊，进一步制定管理方案。

Pregnancy complicated with intestinal obstruction is a rare but severe surgical acute abdominal disease. There are some clinical features of pregnancy induced intestinal obstruction, limited auxiliary examination methods, and easy misdiagnosis or delayed treatment. Inappropriate treatment can lead to adverse pregnancy outcomes. The key to diagnosis and treatment is to learn the characteristics of intestinal obstruction in pregnancy, attach importance to early identification of risk factors, once typical symptoms and positive signs appear, we should highly suspect the possibility of intestinal obstruction, emphasize multidisciplinary cooperation in the diagnosis and treatment process, and the treatment principle is the same as that in non pregnancy. Non strangulating intestinal obstruction can be treated conservatively under close observation, and surgery should be carried out as soon as possible when the disease progresses or strangulating intestinal obstruction is considered. When deciding on the surgical plan, it is crucial to consult surgery, obstetrics and maternal-fetal medicine specialists to weigh the risks and benefits for both the mother and the fetus based on the gestational age, ultimately devising a comprehensive management strategy.