腹部手术后早期炎性肠梗阻的诊断与治疗  

The diagnosis and treatment of early postoperative inflammatory ileus

作　　者：龚龙波[1] 夏红[1] 宋涛[1] 吕孝鹏[1] 孟良[1] 王守军[1] 

机构地区：[1]东南大学医学院附属徐州医院胃肠外科,221009

出　　处：《中华全科医师杂志》2009年第10期749-751,共3页Chinese Journal of General Practitioners

摘　　要：回顾性分析我院69例腹部手术后早期炎性肠梗阻（EPII）患者的临床资料。EPII多发生在术后3～11d，平均5d；62例患者经胃肠减压、应用生长抑素及肾上腺皮质激素，肠外营养等综合治疗治愈，平均治疗时间（22±13）d，7例患者手术治愈。提示EPII是一种特殊类型的早期肠梗阻，常于术后2周内发生，症状以腹胀为主，保守治疗多数有效，一般禁忌再手术治疗。To investigate the clinical features and principles of diagnosis and treatment of early postoperative inflammatory ileus （EPII）. The clinical data of 69 patients with EPII treated in this hospital were retrospectively reviewed. EPII mostly occurred in 3 - 11 d after abdominal surgery, and the average time was 5d. Sixty two cases were cured in a mean period of （22 -＋ 13 ）d through combination therapy including gastroenteral decompression, somatostatin, dexamethasone and total parenteral nutrition （TPN）. Seven cases were cured by operation. EPII is a special type of early intestinal obstruction which often occurs in two weeks after abdominal operation. Its typical symptoms are abdominal distension; conservative therapy is effective for most cases and reoperation is usually contradicted.

关 键 词：肠梗阻 诊断 

分 类 号：R656[医药卫生—外科学]