腹部手术后早期炎性肠梗阻的诊断和治疗

The Diagnosis and Treatment in Early Inflammatory Small Bowel Obstruction After Abdominal Operation

目的：探讨腹部手术后早期炎性肠梗阻的诊断及治疗方法。方法：回顾性分析2008年2月～2012年2月在我院收治的术后早期炎性肠梗阻56例的临床资料，分析总结其临床表现、治疗方法及预防措施。结果：56例患者中，54例采用保守治疗，2例行手术治疗后采用保守治疗，全部患者均治愈出院，平均治愈时间为12±1．5d。结论：术后早期炎性肠梗阻多发生在术后两周以内，症状以腹胀为主，多为小肠炎性水肿粘连所致，应采用保守治疗。

Objective： To discuss the standard of diagnosis and treatment of early postoperative inflammatory small bowel obstruction. Methods： Retrospectively analyzed the clinical data of 56 pa- tients with early postoperative inflammatory small bowel obstruction who were treated in our hospi- tal fromFebruary 2008 to February 2012.54 cases were treated by conservative treatment, 2 cases were treated by operative treatment and conservative treatment, Results： All of patients were recov- ery. The average healing time was （12± 1.5） d. Conclusion： Early postoperative inflammatory small bowel obstruction always happens in 2 weeks after operation, The cardinal symptom is abdominal distension caused by small intestinal inflammatory edema adhesion. So it should be treated by con- servative treatment.