腹部手术后粘连性肠梗阻78例临床分析

Clinical analysis of 78 cases adhesive intestinal obstruction due to abdominal surgery

目的:探讨腹部手术后粘连性肠梗阻的防治措施。方法:对某医院78例腹部手术后粘连性肠梗阻患者的临床资料进行回顾性分析。结果:78例中非手术治疗治愈61例,死亡1例,死亡原因系感染中毒性休克。手术治疗16例,术后出现切口感染3例、切口裂开1例、切口脂肪液化1例,均经换药治愈。结论:腹部手术后粘连性肠梗阻大部分非手术治疗可缓解,部分仍需手术治疗,掌握手术时机十分重要。

Objective： To invest-igate th-e--treaiment and prevention measures of adhesive intestinal obstruction due to abdominal surgery.Methods ： The clinical date of 78 cases adhesive intestinal obstruction due to abdominal surgery in our hospital were analyzed retrospectively.Results ： 61 of 78 patients were cured without operation.One patient died of septic shock.Among 16 patients treated with operation,wound infection in 3 cases,dehiscence of incision in 3 canses,fat liquefaction of incision in one case,but all these cases were cured by change of dressing in the end. Conclusion： most of adhesive intestinal obstruction can be relieved by no-operative therapy.Only some need ooeration, and choosing oroper ooeration time is the key point.