术后早期炎性肠梗阻诊治体会

Experience of diagnosis and treatment of early inflammation intestinal obstruction after operation

目的 探讨术后早期炎性肠梗阻的临床特点及诊断、治疗、预防措施。方法 总结分析2 7例腹部手术后早期炎性肠梗阻临床表现、治疗方法 ,并提出了预防措施。结果 2 7例术后早期炎性肠梗阻均经胃肠减压 ,应用生长抑素全肠外营养支持等治疗 ,痊愈。平均治愈时间 16 .3d。结论 术后早期炎性肠梗阻多发生在术后 2周以内 ,临床上有典型的肠梗阻症状和体征 ,多为小肠炎性水肿粘连所致。

Objective To explore and summarize the clinical characteristics and diagnosis, treatment and prevention of early inflammation intestinal obstruction after operation. Methods Clinical manifestations and treatments of 27 cases of early inflammation intestinal obstruction after undergoing abdominal operation were retrospectively analyzed and the preventive measures put forward. Results 27 cases of early inflammation intestinal obstruction were cured through gastrointestinal decompression and parenteral nutrition support with growth inhibition hormone. The average treatment time was 16.3 days. Conclusions Most of early inflammation intestinal obstruction occurred 2 weeks after operation. The typical intestinal obstruction is mainly caused by small intestinal inflammation and edema. Nonoperation treatment is the choice for early inflammation intestinal obstruction.