胃肠穿孔术后早期炎性肠梗阻诊治体会  

Treatment experience of early inflammatory small bowel obstruction after operation of gastric-intestinal perforation

作　　者：张骏[1] 蔡巍[1] 

机构地区：[1]成都市第六人民医院普通外科,四川成都610051

出　　处：《局解手术学杂志》2010年第2期98-99,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨胃肠穿孔术后早期炎性肠梗阻的诊断、预防和治疗措施。方法回顾性分析我院2004年1月至2009年1月收治的25例胃肠穿孔术后早期炎性肠梗阻患者病例,全部患者予以持续胃肠减压、营养支持、中药外敷等保守治疗措施,观察治疗效果和病员愈后回访结果。结果25例患者中,22例经保守治疗,痊愈出院;另外3例行剖腹探查术,手术治疗后痊愈。结论胃肠穿孔术后早期炎性肠梗阻患者通过综合治疗能够明显改善术后早期炎性肠梗阻的临床症状、维持患者的营养状况及内环境稳定,促进肠道功能恢复,从而有效地治疗术后早期炎性肠梗阻,避免患者再次手术。Objective To explore the diagnosis,prophylaxis and treatment of early postoperative inflammatory bowel obstruction（EPIBO） after the operation of gastric-intestinal perforation.Methods From January 2004 to January 2009,25 cases of EPIBO after the operation of gastric-intestinal perforation were analyzed retrospectively.All of the cases were treated with conservative combined therapy with persistent gastrointestinal decompression,nutritional support and external application of Chinese medicine.The curative effect was observed and the return visit results.Results Among the 25 cases,22 patients were cured by conservative combined therapy,the other 3 were treated with exploratory laparotomy,and recovery after operation.Conclusions Conservative combined therapy is an effective method to treat EPIBO by reducing the clinical symptom,sustaining the nutritional status,keep the homeostasis and promote the bowel function recovery,to avoid operation once again.

关 键 词：术后早期炎性肠梗阻 胃肠穿孔 保守治疗 

分 类 号：R574.2[医药卫生—消化系统]