术后早期炎性肠梗阻的诊治特点探讨

目的:探讨术后早期炎性肠梗阻的特点及治疗策略。方法:收治腹部手术后发生早期炎性肠梗阻患者56例,回顾性分析临床资料,系统归纳、整理后做出分析报告。结果:56例患者中,49例行保守治疗取得了很好的治疗效果,另外7例行手术治疗,其中1例患者10天后复发肠粘连行保守治疗缓解,1例因肠瘘而再次手术,1例因并发败血症死亡。结论:术后早期炎性肠梗阻因其症状典型,且易导致肠外瘘、再梗阻、短肠综合征等严重并发症而应引起大家的重视,治疗应以非手术为主,只有在非手术治疗无效或怀疑有肠绞窄、继发腹腔脓肿时采取手术治疗。

Objective：To investigate the principles of diagnosis and treatment of early postoperative inflammatory ileus. Methods： Clinical literatures of 56 early postoperative inflammatory ileus after abdominal operation in our hospital in latest ten years（2001.5 - 2011.5 ）were analyzed retrospectively. Results：49 patients among 56 cases were underwent non - operative treatment, and had achieved great progress, another 7 cases were underwent oprerative treatment, in which 1 case underwent non -operative treatment ten days later because intestinal adhesion, 1 case underwent reoperation be- cause intestinal fistula, 1 case died because additional septicemia. Conclusion： Early postoperative inflammatory ileus should raise everyone＇s attention since severe complication such as enteroeutaneous fistula, obstruction and short bowel syndrome. We should accept non - operative treatment primarily before operative treatment, only when the non -operative treatment is invalid or skeptical with strangulation of the intestine or secondary abdominal abscess, we accept operative treatment.