16例腹部闭合性损伤术后早期炎性肠梗阻的诊治

Experiences with diagnosis and treatment of early postoperative inflammatory small bowel obstruction in patients with abdominal closed injury

目的：对腹部闭合性损伤术后早期炎性肠梗阻的临床特点、诊断和治疗进行总结。方法：回顾分析16例腹部闭合性损伤术后早期炎性肠梗阻的临床资料，总结其临床特点和诊治体会。结果：腹部闭合性损伤术后早期炎性肠梗阻多发生在术后12d左右（6—30d）。均行非手术治疗，从梗阻症状发作到肠功能恢复的平均时间为18d（14～39d），平均住院时间为19d（16～43d）。结论：腹部闭合性损伤术后早期炎性肠梗阻可表现为典型的肠梗阻症状、体征，保守治疗是主要的措施，应尽量避免手术治疗而导致的更为严重的并发症。

Aim： To investigate the clinical characteristics and treatment principles of early postoperative inflammatory small bowel obstruction in patients with abdominal closed injury. Methods： Sixteen cases of early postoperative inflammatory small bowel obstruction after abdominal closed injury were analyzed. Results： Sixteen cases of early postoperative inflammatory small bowel obstruction after abdominal closed injury were cured in the mean period of 18 days through conservative treatment Conclusion： Early postoperative inflammatory small bowel obstruction after abdominal closed injury has typical signs and symptoms of bowel obstruction, conservative treatment was the main treatment, the surgical intervention should be avoided.