腹部术后消化道功能障碍的成因和对策

The pathogenesis and treatment of the postoperative alimentary tract dysfunction

目的:探讨腹部术后消化功能障碍的成因和治疗原则。方法:回顾分析45例术后消化道功能障碍的临床资料。结果:45例均治愈,平均治愈时间(10.4±2.3)d。45例均保守治疗,包括禁食、胃肠减压、全胃肠外营养(TPN)、生长抑素及其他药物。结论:术后消化功能障碍多发生于术后3～8d[(6.3±2.3)d]。非手术治疗是安全和满意的。

Objective：To investigate the pathogenesis and treatment of the postoperative alimentary tract dysfunction. Method：The clinical records of 45 cases of postoperative alimentary tract dysfunction were analyzed retrospectively. Result： All of the 45 patients recovered. The average time of treatment was 10.4± 2.3 days. All patients were treated by fasting, gastrointestinal decompression, TPN, somatostatin and other therapies. Conclusion：The postoperative alimentary tract dysfunction mostly occurs in 3 - 8 days after operation （average 6.3 ± 2.3 days）. Nonoperative treatment is safe and effective for the postoperative alimentary tract dysfunction.