术后早期炎性肠梗阻的诊治(附68例临床分析)

Experiences in diagnosis and treatment of early postoperative inflammatory ileus: a Report of 68 Cases

目的:探讨术后早期炎性肠梗阻的临床特点和治疗方法。方法:分析68例术后早期炎性肠梗阻的临床特点及治疗。结果:58例术后早期炎性肠梗阻发生于术后1周内。保守治疗64例,肠梗阻缓解时间1～6周,平均12.2天,手术治疗4例。结论:对术后早期炎性肠梗阻应先行4～6周保守治疗,过期无缓解再行手术,这样可避免不必要的手术并减少术后并发症。

Objective To investigate the principles of diagnosis and treatment of early postoperative inflammatory ileus(EPII). Methods 68 Cases with EPI1 were analyzed retrospectively. Resulths Intestinal obstruction occured within the first week after operation in the 58ca.ws.64 Cases achieved remission in 1-6weeks ( mean 12. 2dsys) by conservative treatment. There were4 Cases reoperations. Conclusion 4-6 weeks conservative treatment is necessary for all patients with EPll before obstraction-relieving operation is considered. This protocol can prevent unnecessary operation and reduce postoperatiave complications .