1例小肠切除术后炎性肠梗阻合并肠系膜上动脉综合征病案分析  

Postoperative inflammatory intestinal obstruction combined with superior mesenteric artery syndrome after small bowel resection:a case report

作　　者：刘铸 李馨 汪刘华 任俊 乔唐 LIU Zhu;LI Xin;WANG Liuhua;REN Jun;QIAO Tang(Department of Gastrointestinal Surgery,North Jiangsu People's Hospital Affiliated to Yangzhou University,Yangzhou,Jiangsu,225001;Department of Pharmacy,North Jiangsu People's Hospital Affiliated to Yangzhou University,Yangzhou,Jiangsu,225001)

机构地区：[1]扬州大学附属苏北人民医院胃肠外科,江苏扬州225001 [2]扬州大学附属苏北人民医院药学部,江苏扬州225001

出　　处：《实用临床医药杂志》2024年第17期99-104,共6页Journal of Clinical Medicine in Practice

基　　金：江苏省扬州市重点研发项目(社会发展)(YZ2023086)。

摘　　要：术后早期炎性小肠梗阻是腹部手术后的并发症之一,大多数梗阻在营养支持后会自行缓解。但肠道功能恢复需要较长时间,治疗费用高且易发生相关并发症。术后早期炎性小肠梗阻也是继发粘连性肠梗阻的危险因素之一,少数患者保守治疗无效,不得不接受高风险的手术治疗。术后早期炎性小肠梗阻继发肠系膜上动脉综合征的病例相对少见,通过针灸、激素、水溶性造影剂等综合治疗,争取及早放置肠内营养管,是该类患者治疗的关键。Early postoperative inflammatory small bowel obstruction is one of the complications after abdominal surgery.Most obstructions will resolve on their own after nutritional support.However,the recovery of intestinal function takes a long time,which leads to high costs and is prone to occur related complications.Early postoperative inflammatory small bowel obstruction is also one of the risk factors for secondary adhesive intestinal obstruction.A few patients with ineffective conservative treatment have to undergo high-risk surgical treatment.Cases of early postoperative inflammatory small bowel obstruction complicated by superior mesenteric artery syndrome are relatively rare.Comprehensive treatment including acupuncture,hormones,and water-soluble contrast agents as well as early placement of enteral nutrition tubes is the key to the treatment of such patients.

关 键 词：术后早期炎性小肠梗阻 肠系膜上动脉综合征 水溶性造影剂 针灸 小肠间质瘤 糖皮质激素 

分 类 号：R656.1[医药卫生—急诊医学] R572.3[医药卫生—外科学] R453[医药卫生—临床医学]