术后早期炎性肠梗阻81例诊治体会

Experiences in diagnosis and treatment of early postoperative inflammatory small bowel obstruction:a report of 81 cases.

目的 探讨术后早期炎性肠梗阻的临床特点及处理方法。方法 分析 81例术后早期炎性肠梗阻的临床特点及治疗结果。结果 81例均经胃肠减压 ,应用生长抑素、肠外营养等支持疗法 ,平均治愈时间为 1 4 5d ,无一例再手术。结论 术后早期炎性肠梗阻多发生在术后 5～ 7d ,可表现为典型的肠梗阻体征 ,多由小肠无菌性炎症致广泛肠粘连引起 。

Objetive To investigate the principles of diagnosis and treatment of early postoperative inflammalory small bowel obstruction (EPISBO).Methods Eighty-one cases with early postoperative inflammatory small bowel obstruction were analyzed retrospectively.Results Eighty-one cases were all cured in the mean period of 14 5 days through gastroenteral decompression,somatostatin,TPN and other medications.There was no reoperations.Conclusion EPISBO mostly occurs in about 5～7 days postoperatively.EPISBO has the clinical features.Most cases were caused by extensive adhesion resulted from aseptic inflammations.Conservative treatment should be the first choice for EPISBO patients.