儿童术后早期炎性肠梗阻诊治探讨

The Diagnosis and Treatment of Early Postoperative Inflammatory Obstruction of Small Intestine in Children

目的:探讨儿童腹部手术后早期炎性肠梗阻的诊治方法。方法:对17例腹部手术后出现术后早期炎性肠梗阻的患儿采用禁食、胃肠减压、静脉营养支持、中药灌注、抗感染等综合治疗。结果:17例患儿均顺利恢复。炎性梗阻症状消失,院外随访未见不适。结论:采用非手术保守治疗儿童术后早期炎性肠梗阻是安全有效的。

Objective： To investigate the diagnosis and treatment of early postoperative inflammatory obstruction of small intestine （EPIOSI） in children. Methods： 17 cases of children with EPIOSI were treated by conservative therapy which included fasting, nasogastric drainage, total parenteral nutrition （TPN）, Chinese medicine, anti-infection. Results： 17 cases were all cured and recovered from the hospital successfully. The symptom of inflammatory obstruction were disappeared,and no complications occurred during follow-up. Conclusion： Conservative therapy proved to be safe and effective in children with early postoperative inflammatory obstruction of small intestine.