术后早期炎性肠梗阻22例治疗体会

Treatment experience of 22 cases of early postoperative inflammatory small bowel obstruction

目的探讨术后早期炎性肠梗阻的临床特点、诊断和治疗。方法回顾性分析22例术后早期炎性肠梗阻病人的临床资料。结果22例经胃肠减压，应用生长抑素，糖皮质激素，营养支持等综合治疗，均非手术治疗治愈。结论术后早期炎性肠梗阻多发生在腹部手术后2周内，有典型的肠梗阻症状及体征，但有其自身的特点，非手术治疗可以治愈。

Objective To investigate the clinical features,diagnosis and treatments in early post- operative inflammatory small bowel obstruction. Methods The clinical data of 22 patients with early postoperative inflammatory small bowel obstruction were analyzed retrospectively. Results Twenty- two cases were cured by conservative treatments such as gastrointestinal decompression, application of somatostatin and glucocorticoids,nutritional support therapy,etc. Conclusion The early postoperative inflammatory small bowel obstruction occurs mainly within two weeks after abdominal operation, with typical symptoms and signs of intestinal obstruction, but has its own characteristics and can be cured by conservative treatment.