术后早期炎性肠梗阻的特点与诊断治疗原则

The character, diagnosis and treatment for early postoperative inflammatory small bowel obstruction

目的：探讨术后早期炎性肠梗阴的特点和诊断治疗原则。方法：回顾经治的７例术后早期炎牲肠梗阻，２１～５９岁，术后４～９天友生肠梗阻，结合文献进行分析探讨。结果：先经保守治疗，包括胃肠减压、完主胃肠外营养、应用生长激素、生长抑素和肾上腺皮质激素等。３例肠梗阻症状解除，４例需经手术治疗，术后症状缓解，其中１例友生肠瘘。结论：术后早期炎性肠梗阴多发生在术后２周内，临床症状以呕吐、腹胀为主，腹痛相对较轻。发病原因包括机械性梗阻因素和肠动力障碍性因素，很少发生绞窄。治疗宜先行保守治疗，无效后考虑手术治疗。

Objective :To investigate the character,diagnosis and treatment for early postoperative inflammatory small bowel obstruction (EBSBO). Methods: From April 1997 to May 2000 with 7 cases of EPSBO,their ages ranged form 21 to 59 years old. The time of onset of intestinal obstruction was at 4 to 9 days after operation. We also revieved the recent literature. Results:All patients were initially treated with a nasogastric tube,TPN,Growth hormone,a-drenocortical hormone, somatostatin. Three patients were resolved eftectually and four need operation.of them,one occured intestinal fistula. Conclusion:BPSBO usually occures with in two weeks after operation. The clinical symptomes are vomiting and distention, but less abdominal pain. The reason includs mechanical and motility factores, none sustaines bowel infarction. According to the different causes,conservative treatment is as carried out initially,if nonopera-tian isn't successful .operation should be considered.