急性输入袢梗阻4例临床特点及诊治  

The clinical characteristics and the diagnosis and treatment of Acute afferent loop obstruction (Report of 4 cases)

作　　者：韩玉龙[1] 吴文周 许榕生 张修稳[1] 

机构地区：[1]肥东县人民医院普外科,安徽231600 [2]安徽省第二人民医院普外科,合肥230041

出　　处：《安徽卫生职业技术学院学报》2013年第4期52-53,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:分析总结急性输入袢梗阻(AALO)的临床特点,意在指导诊疗过程,减少误诊误治。方法:回顾性分析4例患者的诊治资料,结合相关文献加以分析和总结。结果:4例患者中,误诊2例;经手术治疗3例,术中见肠坏死1例,十二指肠破裂1例;术后肠瘘并出血1例;拒绝手术后死亡1例。结论:AALO是少见但可能是致命的并发症,掌握特点、积累经验是减少误诊误治的前提和保证,尽早明确诊断和及早手术是正确的临床决策。Objective：To analyze and summarize the clinical characteristics of the acute afferent loop （AALO）,intended to guide its diagnosis and treatment, to reduce the chance of misdiagnosis and mistherap obstruction y. Methods： Recalling the clinical data of 4 patients, and to analyses the related literature.Results：Among these 4 patients, 2 cases were misdiagnosed; 3 cases were treated by surgery, there is lcase intestinal necrosis and 1 case duodenal rupture a- mong this 3 cases;1 case is complicated with duodenal fistula and bleeding after surgery; 1 case died after refusing surgery. Conclusions：AALO is a rare complication but may be fatal,with specific clinical manifestation and radio- graphic features, To master the features and accumulate wider experiences is the premise and guarantee for reducing misdiagnosis. Early diagnosis and early surgery is the correct therapeutic decision-making.

关 键 词：急性 输入袢梗阻 B-Ⅱ吻合 Roux-en-y重建 

分 类 号：R656.6[医药卫生—外科学]