术后早期炎性肠梗阻的诊治体会(附32例报告)

Experience of Diagnosis and Treatments of Early Postoperative Inflammatory Small Bowel Obstruction:a Report of 32 Cases

目的:探讨术后早期炎性肠梗阻的临床特点和治疗方法。方法:回顾性分析32例术后早期炎性肠梗阻患者的临床资料和治疗结果。结果:31例患者经保守治疗痊愈,1例手术治疗后痊愈,其中2例复发后再次住院而经非手术治疗治愈,平均住院时间11.8 d。结论:术后早期炎性肠梗阻应以保守治疗为主,通过禁食、经鼻肠梗阻导管胃肠减压、胃肠外营养、生长抑素及激素等的综合应用具有较佳的疗效。

Objective： To explore clinical characteristics and treatments of early postoperative inflammatory small bowel obstruction.Methods： To retrospectively analyse the clinical data and treatment results of 32 patients of early postoperative inflammatory small bowel obstruction.Results： 31 patients were recoveried by expectant treatments and 1 patient by surgical therapy.2 of the 31 patients were in the condition of recurrent and back in hospital.The average cure time was 11.8 days.Conclusion： 31 cases after fasting,gastrointestinal decompression,nutritional support,somatostatin,dexamethasone,and other conservative treatment were recoveried.So these expectant treatments are effective.