粘连性肠梗阻55例临床分析

Clinical analysis of 55 cases adhesive obstruction of intestine

目的 :提高粘连性肠梗阻的治疗效果。方法 :回顾性分析我院收治的粘连性肠梗阻 55例 ,男 31例 ,女 2 4例 ,年龄 12— 76岁 ,平均 4 6.9岁。单纯性粘连性肠梗阻 30例 ,绞窄性肠梗阻 2 5例。经中西医结合治疗及手术治疗。结果 :全部病例治愈出院。结论 :治疗粘连性肠梗阻重要的是区别单纯性还是绞窄性 ,对单纯性肠梗阻 ,首先应考虑非手术治疗 ,但必须严密观察 ,并结合 X线或 B超动态观察 ,对治疗 12— 2 4 h无好转或疑有绞窄者及早手术 ,这样可避免过分依赖非手术治疗而使病情恶化造成不良后果。对绞窄性肠梗阻阳应快速术前准备 ,尽早进行手术 ,争取在肠坏死之前解除梗阻 ,从而降低死亡率。

Objective:To improve the cure rate of adhesive obstruction of intestine.Method:Reviewed 55 cases which treated in our hospital. Male 31,female 24,aged 12～76,mean age is 46 9 simple adhesive obstruction of intestine 30 cases stenosing obstruction 25 cases. All above were trented with Chinese and Western operation.Result:All were cured.[WT5HZ] Conclusion Its important to clarify the simple from stenosing obstrution of intestine to the simple ones,trated with none operation throngh X-ray and B ultrosownd while to the stenosing ones,the earlier operation the better