术后早期炎性肠梗阻30例诊治体会

Experiences in diagnosis and treatment of early postoperation inflammatory small bowelobstuction: a report of 30 case.

目的 :探讨术后早期炎性肠梗阻的临床特点及处理方法。方法 :分析 3 0例术后早期炎性肠梗阻的临床特点及治疗。结果 :3 0例均经胃肠减压 ,应用生长抑素 ,肠外营养支持等治疗 ,平均治愈时间14d ;无一例再手术。结论 :术后早期炎性肠梗阻多发生在术后 5～ 7d ;可表现为典型的肠梗阻体征 ,多由小肠无菌性炎症致广泛肠粘连引起 ,多数病例采用保守疗法可治愈。

Objective: to investigate the principles of diagnosis and treatment of early postoperative inflammatory small bowel obstruction. Methods: thirty cases with early postoperative inflammatory small bowel obstruction were analyzed retrospectively.Results: thirty cases were all cured in the mean period of 14 days through gastyoenteral decompression somato statin TPN and other medications, there was no reoperation condustin EPII mostly occurs in about 5～7 days postoperatively. EPII has the clinical feature. Most cases were caused by extensive adhesion resulted from aseptic inflammation. Conclusion: Treatment should be the first choice for EPII patients.