53例术后早期炎性肠梗阻的特点分析与处理对策

Characteristic Analysis and Treatment Countermeasures of 53 Cases of Early Postoperative Inflammatory Intestinal Obstruction

目的：探讨术后早期炎性肠梗阻的发生特点，为临床处理该类疾病提供思路。方法：采用追踪法对笔者所在医院普外科2010年7月-2014年9月发生术后早期炎性肠梗阻的53例患者的临床表现进行分析，对其处理经验进行总结。结果：术后早期炎性肠梗阻与术后粘连性肠梗阻临床表现上有较显著的区别，除2例患者手术干预外其余均采用非手术治疗，保守治疗总有效率为96.23%。结论：术后早期炎性肠梗阻多发生在术后1～2周，多表现为典型的肠梗阻特征，治疗上应首先采取保守治疗措施。

Objective：To investigate the occurrence characteristics of early postoperative inflammatory intestinal obstruction,provide ideas for clinical treatment of the disease.Method：Using the tracing method,the clinical manifestation of 53 cases of early postoperative inflammatory intestinal obstruction in the department of general surgery to our hospital from July 2010 to September 2014 were analyzed,and the experience of its processing was summed up.Result：There was a significant difference in the clinical manifestations between postoperative adhesive intestinal obstruction and early postoperative inflammatory intestinal obstruction.The remaining were given nonoperative treatment except 2 patients with surgical intervention,the total effective rate of conservative treatment was 96.23%.Conclusion：The early postoperative inflammatory intestinal obstruction occurred at 1-2 weeks after operation,showed the typical characteristics of intestinal obstruction,treatment should first take conservative treatment.