术后早期炎性肠梗阻诊治分析  

Analysis of the diagnosis and treatment of early postoperative inflammatory small bowel obstruction

作　　者：孙隆昌 

机构地区：[1]商丘市长征人民医院普外科,河南省商丘476000

出　　处：《中国基层医药》2013年第15期2331-2332,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨术后早期炎性肠梗阻的病因、临床表现、诊断及治疗.方法 回顾性分析50例术后早期炎性肠梗阻患者的临床资料.结果 44例行保守治疗治愈,平均治愈时间10.3 d；手术治疗6例,其中4例行肠粘连松解术,2例行大部分小肠切除术.术后出现切口感染2例,术后并发长期腹泻及营养不良2例.结论 术后早期肠梗阻多发生于术后1～2周,与手术操作广泛,手术创伤大有关.典型症状为肠梗阻表现,治疗首选保守疗法,如保守治疗无效或有肠绞窄可能时应手术治疗,手术方式应力求简单有效.Objective To discuss the etiological factor,clinical situation,diagnosis and therapy of early post- operative inflammatory small bowel obstruction. Methods The Clinical data of fifty cases with early postoperative in- flammatory small bowel obstruction were analyzed retrospectively. Results 44 cases were cured in a mean period of 10.3 days with non-operative therapy. Six cases received operation including 4 cases enterolysis and 2 cases section intestinal resection. Infection of incisional wound occurred in 2 case and long time diarrhoea and malnutrition oc- curred in 2 case. Conclusion Early postoperative inflammatory small bowel obstruction mainly occurs in about 1-2 weeks after operation and is related to extensive operation and insult. Early postoperative inflammatory small bowel ob- struction has typical Signs and symptoms of bowel obstrurtion. If conservative therapy isnt effective or strangulation of bowel occurs, operation should be adopted and operation style should be simple and effective.

关 键 词：肠梗阻 炎症 手术并发症 

分 类 号：R656.7[医药卫生—外科学]