术后早期炎性肠梗阻39例临床研究  

Clinical Study on 39 Cases of Early Postoperative Inflammatory lleus

作　　者：陈龙军 张社芹[2] 蒋素英 凌峰[2] 

机构地区：[1]湖南省宁远县人民医院普外科,425600 [2]永州职业技术学院附属医院普外科 [3]湖南省宁远县人民医院妇产科

出　　处：《中华临床医学杂志》2008年第4期24-25,共2页Chinese Journal of Clinical Practical Medicine

摘　　要：目的探讨术后早期炎性肠梗阻（EPII）的发病机制、临床特征和治疗方法。方法回顾分析39例EPII病人的临床资料。结果39例EPII经非手术综合治疗而治愈35例，中转手术冶愈4例。其中1周内手术1例，分离粘连时导致多处小肠破裂行修补后并发肠瘘；超过2周手术1例，已发生小肠坏死并行小肠部分切除。结论EPII发病机制较特殊，宜采用非手术治疗为主，但应密切观察病情变化，手术治疗不能完全放弃，并要正确掌握手术时机与方式。Objective To study the pathogenesis,clinical characteristics and therapeutic methods of early postoperative inflammatory ileus（EPII）. Methods The clinical data of 39 patients with EPII were retrospectively analyzed. Results Of the 39 patients, 35 were cured by non-operation and 4 were cured by turning to surgery. 1 case was treated by operation in the week, but it leaded to enterorrhexis when separated adhesions and complicated intestinal fistula after neoplasty;1 case was treated by operation after 2 weeks,this patient occurrenced small intestine necrosis and was operated by partial resection. Conclusion The main treatments are non-operation for the especial pathogenesis of EPlI,but it should be carefully observed on pathogenctic condition,do not give up operation and must adhere to operation indications and methods.

关 键 词：炎性肠梗阻 手术后并发症 治疗 

分 类 号：R619[医药卫生—外科学]