小儿术后早期炎症性肠梗阻的诊断及治疗

Diagnosis and Treatment of Early Postoperative Inflammatory Intestinal Obstrustion.

目的探讨小儿术后早期炎症性肠梗阻的诊断及治疗方法。方法对2000年1月至2008年12月收治的50例术后早期炎症性肠梗阻患儿的临床资料进行回顾性分析。结果48例经胃肠减压、生长抑素、维持内环境稳定、完全胃肠外营养以及肾上腺皮质激素等保守疗法治愈。结论小儿术后早期炎症性肠梗阻多发生于术后4～7d，可表现为典型的肠梗阻体征，但有其特征性。主要症状为腹胀、肛门停止排气排便，而腹痛较轻，多由小肠无菌性炎症导致广泛或局部肠粘连引起，多数采用保守疗法治愈。

Objecitive To discuss the diagnosis and treatment of early postoperative inflammatory small bowel obstruction （EPISBO） in children. Motbeds From January 2000 to December 2008,a total of 50 patients with EPISBO were analyzed retrospectively. Results 48 cases were cured by using gastrointestinal decompres- sion , somatostatin, keeping the stabilization of internal environment , total parenteral nutrition support （TPN） , dexmnethasone. Conlusions EPIIO usually occurred about 4-7days after operation. The clinical features of EPI- IO are as follows： Abdominal distension more prominent than abdominal pain, and rare intestinal ischemia; mostly caused by extensive inflammation ; it always can be cured by non-operativetreatment.