51例粘连性肠梗阻的中西医结合治疗分析

Treatment of 51 Cases of Intestinal Obstruction with Adhesion by TCM and WM in Combination

51例粘连性肠梗阻，其中阑尾切除术后17例，胃、十二指肠术后13例，胆道术后10例，肠道术后6例，妇科术后3例，腹腔其他病术后2例。中医辨证属痞结型35例，瘀结型16例。西医采用禁食、胃肠减压、抗炎、补液、解痉、纠正水电解质紊乱；中医以复方大承气汤为基本方，以口服或胃管注入或灌肠。结果：12小时内症状缓解者7例，12～24小时症状缓解者26例，24～36小时症状缓解者12例，36～48小时症状缓解者4例。1例中转手术痊愈，1例中转手术后死亡。总经解率98．04％，死亡率1.96％。

51 cases of intestinal obstruction with adhesion were treated by TCM and WM in combination, authors treated these patients by fasting, gastrointestinal decompression, anti-inflammatory therapy, fluid infusion, spasmolysis, correction of water-electrolyte imbalance in WM and by modified Composite Major Drastic Purgative Decoction in TCM. The results showed that a total remission rate was 98.04%, the mortality was 1. 9%.