摘要
目的探讨术后早期炎性肠梗阻的成因和治疗原则。方法回顾分析23例术后早期炎性肠梗阻的临床资料。结果23例均治愈,平均治愈时间(29.6±15.4)天。所有病例均先行保守治疗,包括禁食、胃肠减压、全胃肠外营养(TPN)、生长抑素及其他药物。2例再次手术,1例发生肠瘘。结论术后早期炎性肠梗阻多发生于术后3～10天〔(6.2±2.8)天〕。非手术治疗是安全和满意的。
Objective To investigate the pathogenesis and treatment of early postoperative inflammatory small bowel obstruction （EPISBO）. Methods The clinical records of 23 cases of EPISBO were analyzed retrospectively. Results Recovery was achieved in all of the 23 cases. The average time of treatment was 29.6 ± 15.4 days. All patients were initially treated by fasting, gastrointestinal decompression, TPN, somatostatin and other therapies. Reoperation was carried out in 2 cases, with intestinal fistula complication produced in one of them. Conclusion EPISBO mostly occurs 3 - 10 days after operation （average 6.2 ± 2.8 days）. Nonoperative treatment is safe and effective for EPISBO.
出处
《徐州医学院学报》
CAS
2005年第4期328-330,共3页
Acta Academiae Medicinae Xuzhou
关键词
肠梗阻
腹部
术后并发症
small bowel obstruction
abdomen
postoperative complications
