术后早期肠梗阻32例诊治体会  

Diagnosis and Treatment of Early Postoperative Intestinal Small Obstruction:Report of 32 Cases

作　　者：林李波[1] 张明仪[1] 徐小莉[1] 郭国湖[1] 邓兰树[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041

出　　处：《华西医学》2007年第3期564-564,共1页West China Medical Journal

摘　　要：目的:探讨术后早期肠梗阻的诊断与治疗策略。方法:对32例腹部术后早期肠梗阻的临床特点与治疗方法进行分析。结果:32例术后早期肠梗阻均发生于术后8天内,非手术治疗27例,再次手术5例(腹内疝2例,引流管压迫+粘连2例,非手术治疗逾期无法缓解1例)。结论:术后早期肠梗阻多为炎性梗阻(约占90%),非手术治疗应为首选治疗。明确为绞窄性肠梗阻及治疗后逾期无效者应积极手术。Objective： To summarize the experience of diagnosis and treatment of early postoperative intestinal obstruction Methods- The clinical features and therapies of 32 cases of early postoperative intestinal obstruction were analyzed. Results： The 32 cases of early intestinal obstruction were occurred in early stage within 8 days after operation, 27 of 32 cases were cured by non - operative treatment, and 5 of 32 cases （including 2 cases with internal abdominal hernia; 2 cases with stretch tube and adhesion, 1 case with intestinal adhesion） were reoperated. Conclusions： Most of early pestoperative intestinal obstruction is inflammatory obstruction （ nearly 90% ）, Non - operative treatment is first choice for early postoperative intestinal obstruction. The operative treatment for early pestoperative intestinal obstruction should be considered in intestinal ischemia or failed cases of non - operative treatment.

关 键 词：术后早期肠梗阻 诊断与治疗 

分 类 号：R656.7[医药卫生—外科学]