腹部手术后早期炎性肠梗阻31例诊治分析  

Experiences in diagnosis and treatment of early postoperative inflammatory small bowel obstruction: a report of 31 cases

作　　者：申阳[1] 谢建峰[1] 周长虹[1] 

机构地区：[1]湖南省永州市人民医院普外科,湖南永州425006

出　　处：《中国医学工程》2007年第3期298-299,302,共3页China Medical Engineering

摘　　要：目的探讨术后早期炎性肠梗阻的临床特点、处理方法和预防措施。方法回顾分析该院31例术后早期炎性肠梗阻的临床资料,对其临床特点及治疗结果进行分析。结果31例均行经胃肠减压,应用生长抑素、肠外营养等支持疗法,平均治愈时间为16d,无1例再手术。结论术后早期炎性肠梗阻多发生在术后2周,可表现为典型的肠梗阻体征,多由小肠无菌性炎症致广泛肠黏连引起,多数病例采用保守疗法可治愈。[Objetive] To investigate the clinical features,the principles of diagnosis and treatment and prevention of early postoperative inflammalory small bowel obstruction（EPISBO）. [Methods] 31 cases with early postoperative inflammatory small bowel obstruction were analyzed retrospectively. [Results] 31 cases were all cured in the mean period of 16 days through gastroenteral decompression,somatostatin,TPN and other medications.There was no reoperations. [Conclusion] EPISBO mostly occurs in about 2 weeks postoperatively.EPISBO has the clinical features.Most cases were caused by extensive adhesion resulted from aseptic inflammations. Conservative treatment should be the first choice for EPISBO patients.

关 键 词：肠梗阻 炎性肠梗阻 

分 类 号：R574.2[医药卫生—消化系统]