术后早期肠梗阻的治疗体会

Diagnosis and Management of Early Postoperative Ileus

目的探讨术后早期肠梗阻的治疗方法。方法对安阳市人民医院2002年-2006年间的21例术后早期出现肠梗阻患者的临床资料进行回顾性分析。结果21例中,13例保守治疗治愈,8例行手术治疗,其中4例治愈、2例发生肠瘘、1例再发肠梗阻、1例死亡。结论术后早期肠梗阻多为炎性肠梗阻,保守治疗是必要和有效的。手术治疗要严格掌握手术指征,若贸然再手术极易出现并发症,死亡率高。

Objective To explore the appropriate strategy for the treatment of early postoperative ileus. Methods This retrospective review analyzed the clinical data of syndrome in 21 cases of early postoperative ileus in 5 years from 2002 to 2006 in Anyang Peopleg Hospital. Results Totally 21 cases were enrolled, 13 cases achieved remission by conservative treatment. 4 cases were cured, and 2 cases appeared intestinal fistula,and 1 case was occurrence of ileus on second,and 1 case was dead in the 8 cases underwent operation. Conclusion Conservative treatment is necessary, and availability for all patients with early postoperative ileus, because lots of them were intestinal adhesive obstruction. The syndrome would easily appeared and the death rate was high if the patients of early postoperative ileus was operated again in short time,so the operation would have a austerely indication.