术后早期肠梗阻诊治体会

Experience of early postoperative intestinal obstruction diagnosis

目的探讨腹部术后早期肠梗阻的临床特点和治疗方法。方法 对19例术后早期肠梗阻患者的资料进行回顾性分析。结果 保守治疗13例,手术治疗6例,均治愈出院。结论 术后早期肠梗阻如确定为机械性或血运性肠梗阻应及时手术治疗,余大部分为炎性肠梗阻、粘连性肠梗阻及麻痹性肠梗阻均应首选保守治疗,在治疗过程中观察病情变化,如出现机械性肠梗阻、腹膜炎表现时应手术治疗。

Objective To investigate the clinical features and treatment in early intestinal obstruction after abdominal surgery. Methods 19 cases of patients with early postoperative intestinal obstruction were retrospectively analyzed. Results Both of 13 cases with conservative treatment and 6 cases with surgical treatment were cured. Conclusion The early postoperative intestinal obstruction diagnosed to be mechanical or revascularization, surgery should be timely taken. Most intestinal obstructions are adhesive ,paralytic and ileus intestinal obstruction,conservative treatment should be preferred in the treatment. Observed during the whole treatment,when condition changes,such as a mechanical intestinal obstruction or peritonitis, taking a surgery.