小儿急性粘连性小肠梗阻的治疗与手术时机

Treatment and the Optimal Operation Time of Acute Adhesive Ileus in Children

近１０年来收治小儿急性粘连性小肠梗阻９４例，其中早期手术组（Ｉ组）４４例，非手术治疗无效后转手术治疗组（Ⅱ组）１９例，非手术治疗组（Ⅲ组）３１例。结果Ⅱ组肠绞窄坏死发生率和病死率高于Ⅰ组。强调迅速准确判断病情进程的重要性，认为非手术疗法经１２～２４ｈ不见好转，应及时修正治疗方法，把握手术时机。

A ten-year retrospective analysis was made on patients with a diagnosis of acute small intestinal obstrucion due to adhesions. Among the 94 episodes of intestinal obstruction, 44 patients (Group I)with suspective strangulation underwent early operation, 19 patients (Group II) treated conservatively at the begining but surgically later,and 31 patients (Group III) cured conservatively. In Group II, 6 patients(31. 6 %) . required resection of the gangrenous intestine with one death. The morbidity and the mortality were evidently greater. The authors thought that in case of incomplete obstruction, conservative treatment for 12 to 24 hours without improvement, an immediate operation should be indicated.