9例腹部术后早期炎性肠梗阻的诊断与治疗

9 cases of abdominal early postoperative inflammatory small bowel obstructon of early diagnosis and treatment

目的:总结9例腹部术后早期炎性肠梗阻(early postoperative inflammatory small bowel obstructon,EPISBO)患者的临床特点及诊治情况,为该病的正确处置奠定理论基础。方法:对本院2009年2月～2011年3月发生的9例腹部术后致早期炎性肠梗阻的患者临床资料、治疗方法进行回顾性分析。结果:1例患者疑肠坏死立即实施手术并行粘连松解小肠排列术,余8例患者均行保守治疗获得成功。结论:腹部术后早期炎性肠梗阻治疗以保守治疗为首选,有效的胃肠减压、肠外营养和促进肠管炎症水肿消退药物的运用是治疗本病的关键。

Objective：To summarize the nine cases of abdominal early postoperative inflammatory small bowel obstructon caused by the clinical features,diagnosis and treatment for the disease lay the theoretical foundation of proper disposal.Methods：9 cases of abdominal early postoperative inflammatory small bowel obstructon took place in our hospital from February 2009 to March 2011 were analyzed,and the clinical data,treatment modalities were analyzed retrospectively.Results：One patient operated on immediately suspected bowel necrosis in the small intestine arranged parallel adhesiolysis surgery,the remaining 8 patients underwent successful conservative treatment.Conclusion：Early inflammatory intestinal obstruction after abdominal surgery to conservative treatment as the preferred and effective decompression,parenteral nutrition,intestinal inflammation,edema and promote the use of drugs is the key to treatment of the disease.