术后早期炎性肠梗阻36例诊治分析

Experiences in diagnosis and treatment of early postoperative inflammafory small bowel obstruction:a report of 36 cases

目的探讨术后早期炎性肠梗阻的病因、临床特点及诊断与治疗。方法总结分析我院36例腹部手术后早期炎性肠梗阻病人的临床资料。结果36例病人中33例经胃肠减压、应用生长抑素、全胃肠外营养支持等治疗治愈。3例经手术治疗治愈。平均治愈时间15d。结论术后早期炎性肠梗阻好发于腹腔污染重或创伤大的腹部手术,多发生于术后2周以内。应首选保守治疗。

Objective To investigate the cause, clinical features, diagnesis and treatment of early postoperative infalmmatory ileus （ EPII ） . Methods Analysed the fhree - six EPII cases of my hospital. Results Fhree - six cases were mostly cured through gastroenteral decompression, total parenteral nutrition so - matostatin, amd other methods. The average cured time is 15 days. Conclusion The EPII are often occurring in the two weeks after abdominal operation. Conservative treatment is the first choice for EPII.