小肠梗阻的诊断和治疗策略  

Strategies for diagnosis and treatment of small bowel obstruction

作　　者：陈汉卿[1] 吕宾[2] 

机构地区：[1]浙江中医药大学第一临床医学院,浙江省杭州市310053 [2]浙江中医药大学附属第一医院消化科,浙江省杭州市310006

出　　处：《世界华人消化杂志》2011年第6期551-556,共6页World Chinese Journal of Digestology

摘　　要：小肠梗阻是由多种病因引起的以腹痛、腹胀、呕吐等为临床常见表现的一种急腹症,往往病情发展迅速,需要快速准确地做出诊断并予以合理、有效地治疗.本文围绕小肠梗阻的诊断和治疗策略,比较不同影像学诊断方法在小肠梗阻中的应用以及从药物治疗、胃肠减压、手术介入的适当时机和方式等多方面论述了目前对于小肠梗阻诊断和治疗的现状,以期更好地为临床上准确有效地处理该类患者提供一些依据.Small bowel obstruction,which is caused by a variety of etiological factors and mainly manifests as abdominal pain,vomiting and distension,is one of the most common acute abdomens.A rapid and accurate diagnosis of small bowel obstruction is needed to give reasonable and effective treatment to avoid its rapid deterioration.In this paper we discuss the strategies for diagnosis and treatment of small bowel obstruction through comparing different imaging methods for diagnosis of small bowel obstruction and reviewing the current situation of diagnosis and treatment of the disease in terms of pharmacotherapy,gastrointestinal decompression,and surgical intervention.

关 键 词：小肠梗阻 诊断 影像学 胃肠减压 非手术治疗 

分 类 号：R656.7[医药卫生—外科学]