腹部手术后早期炎性肠梗阻的诊治  

Diagnosis and treatment of postoperative inflammatory small bowel obstruction after abdominal surgery

作　　者：杨勇[1] 钱立元[1] 代建波[1] 赵磊[1] 

机构地区：[1]中南大学湘雅三医院普外二科,湖南长沙410013

出　　处：《现代医药卫生》2012年第4期513-514,共2页Journal of Modern Medicine & Health

摘　　要：目的探讨腹部外科术后早期炎性肠梗阻的临床特点和诊治方法。方法回顾性分析湘雅三医院2007年6月至2011年6月诊治的42例腹部外科术后早期炎性肠梗阻患者的临床资料。结果 40例患者经胃肠减压、全胃肠外营养支持、应用肾上腺皮质激素、生长抑素和抗生素等非手术治疗痊愈。平均治疗时间9.21 d。其中2例患者分别于术后17、20 d保守治疗无效中转手术治疗,其中1例于术后第3天出现肠瘘,另1例于术后第10天死于严重肺部感染。结论腹部术后早期炎性肠梗阻应首选非手术治疗。Objective To investigate the clinical characteristics,diagnosis and treatment of early postoperative inflammatory small bowel obstruction（EPISBO） after abdominal surgery.Methods The clinical data in 42 cases of EPISB0 in our hospital from June 2007 to June 2011 were analyzed retrospectively.Results 40 patients were recovered after conservative treatment including gastrointestinal decompression,total parenteral nutrition（TPN）,antibiotics,glucocorticoid and somatostatin.The mean cure time was 9.21 d.The other 2 cases underwent laparotomy on 17,20 d after operation.One case was turn to intestinal fistula on 3 d after reoperation,and another case die on 10 d after reoperation because of serious lung infection.Conclusion Conservative treatment should be regarded as the first choice for EPISBO in clinical practice.

关 键 词：肠梗阻 手术后并发症 诊断 保守治疗 

分 类 号：R574.2[医药卫生—消化系统]