术后早期炎性肠梗阻36例诊治体会

Experiences in Diagnosis and Treatment of Early Postoperative Inflammatory Small Bowel Obstruction: A Report of 36 Cases

目的 :探讨术后早期炎性肠梗阻的特点及诊治原则。方法 :分析 36例术后早期炎性肠梗阻的临床资料。结果 :36例经胃肠减压 ,营养支持 ,应用生长抑素和肾上腺皮质激素等治疗后均治愈。结论 :①术后早期炎性肠梗阻多发生在术后 5～ 7d ;②有典型的肠梗阻症状和体征 ,但很少发生肠绞窄 ;③多为腹腔内炎症致广泛肠粘连引起 ;④应先试行保守治疗 ,其疗效满意。

Objective: To investigate the principles of diagnosis and treatment of early postoperative inflammatory small bowel obstruction(EPISBO). Methods: Thirty-six cases with early postoperative inflammatory small bowel obstruction were analyzed retrospectively. Results: Thirty-six cases were all cured in the mean of 12.8 days through gastrointestinal decompression, nutritional support, somatostatin, adrenocorticoid and other medications. There were no reoperations. Conclusion: EPISBO mostly occurs in about 5-7days postoperatively with typical signs and symptoms of bowel obstruction but rare intestinal ischemia Most EPISBO are caused by extensive inflammations in abdomen. Conservative treatment should be the first choice for EPISBO.