术后早期炎性肠梗阻的治疗  

Treatment of early postoperative small intestinal obstruction.

作　　者：朱维铭[1] 李宁[1] 黎介寿[1] 尹路[1] 任建安[1] 顾军[1] 姜军[1] 王少华[1] 王新波[1] 

机构地区：[1]南京军区南京总医院普通外科

出　　处：《中国实用外科杂志》2002年第4期219-220,共2页Chinese Journal of Practical Surgery

摘　　要：目的　总结术后早期炎性肠梗阻的治疗经验 ,提出诊断标准、治疗和预防措施。方法　回顾 73例炎性肠梗阻病人的治疗方法 ,包括禁食、胃肠减压、全肠外营养、糖皮质激素和生长抑素的应用。结果　 73例病人中治愈 72例 ,平均治愈时间为 (2 6 4± 11 6 )天 ,1例病人治愈后 18个月因机械性肠梗阻再次手术治愈 ,其余病人未再进行手术治疗 ,无复发者。结论　采用非手术疗法治疗术后早期炎性肠梗阻效果满意 ,并发症少 ,安全。手术治疗并发症多 ,疗效差。Purpose To summarize the experience of the treatment of early postoperative small intestinal obstruction,to put forward the diagnostic criteria and the principles of treatment and prevention.Methods A retrospective study was made on the treatment of 73 patients with early postoperative small intestinal obstruction.Treatment included fasting,gastrointestinal decompression,total parenteral nutrition,glucocorticoid and somatostatin.Results Seventy-two patients among 73 were cured,the average time of treatment was (26 4±11 6)d,1 case was reoperated 18 months later because of mechanical intestinal obstruction,no recurrence occurred.Conclusion Non-operative treatment is safe and satisfactory for eavly postoperative small intestinal obstruction,complications are rare.

关 键 词：肠梗阻 营养支持 生长抑素 术后并发症 

分 类 号：R574.2[医药卫生—消化系统] R619[医药卫生—内科学]