腹部手术后早期炎性肠梗阻的诊治

The Diagnosis and Treatment of Early Postoperative Inflammatory Small Bowel Obstruction

目的:总结手术后早期炎性肠梗阻的诊断和治疗经验。方法:回顾52例早期炎性肠梗阻病人的治疗,包括禁食,胃肠减压,全胃肠外营养,肾上腺皮质激素的应用。结果:(1)52例病人全部治愈;(2)平均治愈时间(24±10)天;(3)l例20个月以后因机械性肠梗阻再次手术。结论:采用非手术治疗术后炎性肠梗阻效果满意,并发症少,安全。

Objective： To summarize the experience of diagnosi and treatment about early postoperative inflammatory small bowel obstruction. Methods：A retrospective study was made on the treatment which included fasting, gastrointestinal decompression, total parenteral nutrition, glucocorticoid andsomatostatin, of 52 patients with early postoperative inflammatory smallbowel obstruction, Results：51 patrients among 52 were cured;The average time of treatment was 24±10days;One case was reoperated 20 months later because of mechenical small bowel obstruction. Conclusion： Non--operative treatment is safe and satisfactory for early postoperative inflammatory small bowel obstruction, and the complications are rare.