期刊文献+

术后早期炎性肠梗阻40例诊治体会 被引量:1

Diagnostic and Treated Experience of 40 Cases with Early Postoperative Small Bowel Obstruction
下载PDF
导出
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.
作者 易自力 魏敏
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
  • 引文网络
  • 相关文献

参考文献3

  • 1Hoi H K,Chu K W,Law W L.Therapeutic value of gasu-glafinin adhesive small bowel Obstruction after unsuccessfuI conserva tive treatment:a prospective randomized trial.Ann Surg.2002;236(1):1-6.
  • 2佟立权,姜秀荣,李延林,尤立光.术后早期炎性肠梗阻的诊断与治疗[J].中国局解手术学杂志,2002,11(1):19-20. 被引量:2
  • 3Bauer AJ,Boeckxstaens GE.Mechanisms of postoperative ileus[J].Neurogastroenterol Motil,2004;16(Suppl 2):54-60.

二级参考文献4

  • 1[1]Stewart RM, Page CP, Brender J, et al. The incidence and risk of early postoperative small bowel obstruction. Am J Surg, 1987,154(6) :643.
  • 2[3]Pickleman J, Lee RM. The management of patients with suspected early postoperative small obstruction. Am Surg, 1989, 210: 216 -219.
  • 3[4]Velasco JM, Vavlina VL, Bonoms SR, et al. Postoperative small bowel obstruction. Rethinking its management. Surg Endosc, 1989,12(8) :1043.
  • 4黎介寿.认识术后早期炎症性肠梗阻的特性[J].中国实用外科杂志,1998,18(7):387-388. 被引量:1134

共引文献1

同被引文献7

引证文献1

二级引证文献1

;
使用帮助 返回顶部