术后早期炎性肠梗阻非手术诊治25例疗效报告

Post-operation Early Inflammatory Ileus Treated with Non-operation

[目的]探讨术后早期炎性肠梗阻(EPISBO)的特点、治疗,为临床预防提供理论依据。[方法]回顾性分析我院2006年6月至2012年11月收治的25例术后EPISBO患者的临床资料,对其进行分类总结。[结果]本组患者经非手术治疗全部治愈,无中转手术病例。患者出院时营养状况较入院时明显改善,均恢复正常饮食,脱离药物治疗,随访结束经统计无并发症发生,无复发病例。[结论]术后EPISBO病程较长,需密切观察患者的腹部症状、体征及影象学变化;术后EPISBO行非手术治疗是安全的、可靠的,且效果良好。

[Objective] To discuss the characteristics and treatment of EPISBO to offer theoretic base for clinical prevention. [Method] Trace back and analyse 25 cases of EPISBO clinical data, and make classification and summary. [Result] All cases were cured with non-operation, without transfer for opera tion; the patients＂ out-of-hospital nutrition was much improved with normal diet, without drugs therapy; after follow-up, the statistics showed no complications or reoccurrence. [Conclusion] The post-operation EPISBO has long course, needs close observation of abdominal symptoms, signs and imaginG change; after that, the non-operation is safe, rehable, with good effect.