摘要
目的:探讨术后早期炎性肠梗阻(EPSBO)的诊断及治疗。方法:选择我院2000年10月~2008年10月40例术后早期炎性肠梗阻病例,对其诊断和治疗进行回顾性分析。结果:其中38例经禁食、胃肠减压、抗炎、补充电解质、应用生长抑素、肾上腺皮质激素及营养支持等治疗治愈,1例保守三天后症状不缓解中转手术,术中见小肠广泛粘连,松解粘连时多处肠管破裂而行部分肠段切除,术后出现短肠综合征。1例保守治疗5天后中转手术,行肠粘连松解术,术后出现肠瘘,再次手术治愈。结论:术后早期炎性肠梗阻如诊断明确,应保守治疗。如过早手术,容易出现肠瘘,短肠综合征,腹腔感染等并发症。
Objective:To discuss the diagnosis and treatment of early postoperative small bowel obstruction (EPSBO).Methods: From 2000 October to 2008 October,40 cases were diagnosed and treated as early postoperative small bowel obstruction in our hospital. The datum of all these cases was analyzed retrospectively.Results:38 patients were cured by fasting,gastrointestinal decompressinn,anti- inflammatory, supplementary electrolytes,somatostatin.adrenocorticotropic hormone and nutritional support. 1 patient fail to improve and converted to open surgery by conservative therapy for three days,extensive small intestinal adhesion Was detected during the operation 1,The resection of segment of intestine occurred because of intestines rupture during intestines adhesionlysis,which result in short bowel syndrome postoperatively. Another I case also was converted to intestine adhesionlysis after 5 days, intestinal fistula occurred and was cured by reoperation.Conclusion:The early postoperative small bowel obstruction, diagnosed certainly, should be treated conservatively.The improper operation could result in many complications,such as intestinal fistula, short bowel syndrome,and intra-abdominal infections.
出处
《中国医药导刊》
2010年第4期554-555,共2页
Chinese Journal of Medicinal Guide
关键词
术后早期炎性肠梗阻
诊断
治疗
Early postoperative small bowel obstruction
Diagnosis
Treatment