术后早期炎性肠梗阻临床诊治体会  

Experience in Diagnosis and Treatment of Early Postoperative Inflammatory Ileus

作　　者：秦正龙[1] 杜丽萍[1] 贾维嘉[1] 张雁峰[1] 

机构地区：[1]山西省晋中市第二人民医院,山西太谷030800

出　　处：《山西职工医学院学报》2003年第1期5-6,共2页Journal of Shanxi Medical College for Continuing Education

摘　　要：目的 :探讨术后早期炎性肠梗阻的临床特点及处理方法。方法 :分析 5 3例术后早期炎性肠梗阻的临床特点及治疗效果。结果 :5 3例术后早期炎性肠梗阻均发生在术后 1周左右 ,保守治疗 4 7例 ,梗阻缓解时间3d～ 4 2d ,平均 12 7d ;手术治疗 6例。结论 :术后早期炎性肠梗阻多发生在术后 5d～ 7d ,可表现为典型的肠梗阻体征 ,多由小肠无菌性炎症致广泛肠粘连引起 。Objective:To investigate clinical features and treatment of early postoperative inflammatory ileus(EPII).Methods: 53 patients with EPII were analyzed retrospectively.Results: Intestinal obstruction occurred within the first week after operation in all the 53 cases,47 patients received conservative treatment and achieved remission 3 to 42 days (mean 12.7 days) ,6 had surgery.Conclusion: EPII mostly occurs in about 5 to 7 days after operation,presenting as typical ileus sign.Most cases were caused by extensive adhesion resulted from aseptic inflammations.Conservative treatment should be the first choice for most EPII patients.

关 键 词：术后 早期 炎性肠梗阻 诊断 治疗 

分 类 号：R574.2[医药卫生—消化系统]