术后早期炎症性肠梗阻56例临床分析

The Early Postoperative Inflammatory Intestinal Obstruction:Clinical Analysis of 56 Cases

目的:探讨术后早期炎性肠梗阻的临床特点及诊断与治疗。方法总结分析我院56例腹部手术后早期炎性肠梗阻患者的临床资料。结果51例经非手术治疗治愈,平均治愈时间11d。手术组治愈5例,平均治愈时间21d。结论术后早期炎性肠梗阻好发于腹腔污染重或创伤的腹部手术,发生于术后1~3w,临床上有典型的肠梗阻症状和体征,但很少发生肠绞窄坏死,保守治疗大都有效,治疗上最好先予以生长抑素为主的保守治疗,应严密观察,如出现肠坏死、腹膜炎征象时则再及时中转手术。

Objective to investigate the early postoperative inflammatory intestinal obstruction clinical characteristics and diagnosis and treatment.Methods to analyze the clinical data of 56 cases of abdominal operation patients with early inflammatory intestinal obstruction.Results 51 cases treated by non operation treatment,the average healing time was 11 days.Operation 5 cases were healed,the average healing time was 21 days.Conclusion the early postoperative inflammatory intestinal obstruction occurred in heavy pol ution of abdominal trauma or abdominal operation,occurred after 1~3 weeks,with typical clinical symptoms and signs of intestinal obstruction in clinical practice,but seldom strangulation necrosis,conservative treatment are ef ective,the treatment is best to be a growth inhibition hormone mainly conservative treatment,should be closely observed,such as the emergence of intestinal necrosis,peritonitis,timely transfer operation.