老年人腹部手术后早期炎性肠梗阻35例  

Inflammatory intestinal obstruction early after abdominal operation in elderly patients: an analysis of 35 cases

作　　者：杨建光[1] 赵宇[1] 于作夫[1] 孙玉华[1] 

机构地区：[1]中国医科大学附属第四院普外科,辽宁省沈阳市110005

出　　处：《世界华人消化杂志》2006年第16期1638-1640,共3页World Chinese Journal of Digestology

摘　　要：目的:对老年人腹部术后早期炎性肠梗阻的诊断、治疗和预防进探讨．方法:回顾分析35例腹部术后早期炎性肠梗阻的老年患者的临床资料．结果:老年人腹部术后早期炎性肠梗阻多发生在术后4-12 d,除表现为一般肠梗阻的症状体征外,还有其自身的特点,33例经非手术治疗痊愈,平均肠功能恢复时间为8±1d (4-28 d)．结论:老年人术后早期炎性肠梗阻采用保守治疗效果较满意,减少手术的创伤及抑制炎症反应对其发生有一定的预防作用．AIM： To conclude the experiences on the diagnosis, treatment and prevention of the early abdominal postoperative inflammatory intestinal obstruction in elderly patients. METHODS： The clinical data of 35 elderly patients with the early abdominal postoperative inflammatory intestinal obstruction were analyzed retrospectively. RESULTS： The early abdominal postoperative inflammatory intestinal obstruction of the elderly patients mostly occurred 4-12 d after abdominal operation. Besides normal symptoms and signs of the intestinal obstruction, it also had specific characteristics of its own. Of the 35 cases, 33 were cured without operation, and the mean time from the onset of symptoms to the recovery of bowel function was 8±1 d （range： 4-28 d）. CONCLUSION： Non-operative treatment cangain satisfactory results for the the early abdominal postoperative inflammatory intestinal obstruction in elderly patients, and less surgical trauma and inhibition of the postoperative inflammation play a predictive role to some extent.

关 键 词：老年人 炎性肠梗阻 腹部手术 

分 类 号：R656.7[医药卫生—外科学]