38例术后早期炎性肠梗阻诊治分析

Analysis of diagnosis and treatment about 38 patients of early postoperative inflammatory small bowel obstruction

目的总结分析术后早期炎性肠梗阻的临床特点及诊治经验。方法回顾性分析2003年10月至2009年10月笔者所在科室收治的38例术后早期炎性肠梗阻患者的临床资料。结果本组38例患者术后早期炎性肠梗阻均发生在腹部手术后2周内,其中37例经严格系统保守支持治疗后治愈,1例因手术指征掌握不准确错误实施了剖腹探查术,手术后继续保守治疗痊愈。结论术后早期炎性肠梗阻多发生在腹部手术后2周内,准确掌握术后早期炎性肠梗阻临床特点,准确诊断,系统化保守治疗是治疗术后早期炎性肠梗阻的的唯一有效措施,手术治疗应尽量避免。

Objective To investigate clinical features and treatment experiences of early postoperative inflammatory small bowel obstruction. Methods 38 patients with early postoperative inflammatory small bowel obstruction were analyzed retrospectively. Results Early postoperative inflammatory small bowel obstruction occurred within the first two weeks after operation in all the 38 cases, among them 37 patients received conservative treatment and were cured successfully, 1 case had wrong surgery and was finally cured with conservative methods. Conclusion Early postoperative inflammatory small bowel obstruction mostly occurs within about two weeks after operation, grasping its clinical characteristics, making a correct diagnosis and giving a conservative treatment was the only correct therapy for early postoperative inflammatory small bowel obstruction, re -operation should be avoided.