术后早期炎性肠梗阻22 例治疗体会.pdfVIP

堕竖签登型!：生笙垄鲞箜!塑坠墅矍!i壁：壁!：垄望；：!尘!：垄：型垒! ·45· 术后早期炎性肠梗阻22例治疗体会 胡晓立付伟 【摘要】目的探讨术后早期炎性肠梗阻的临床特点、诊断和治疗。方法回顾性分析22例术 后早期炎性肠梗阻病人的临床资料。结果22例经胃肠减压，应用生长抑素．糖皮质激素，营养支持 等综合’冶疗，均非手术治疗治愈。结论术后早期炎性肠梗阻多发生在腹部手术后2周内，有典型的 肠梗阻症状及体征，但有其自身的特点，非手术治疗可以治愈。 【关键词】肠梗阻；诊断；治疗 of of Treamlem 22cases smallbowelobstructionHUX缸0_ experience earlypostoperativeinflammatory li，FU General Central 433100，C^ina W；i．DepartmentoJ Surgery，QianjiangHospital。QⅡ可iang To theclinical andtreatmentsin investigate features．diagnosis post— [Abstract]Objective early The smalihowelobstruction．Methodsclinicaldataof22 with operativeinflarnmatory patientsearly smallhowelobstructionwere analyzed postoperativeinflammatory retrospectively．ResultsTwenty- twocaseswerecuredconservativetreatmentssuchas of by gastrointestinaldecompression．application somatostatinand The glucocorticoids。nutritionalsupporttherapy，etc．Conclusionearlypostoperative sma[1bowelobstructionOccurs withintWOweeksafterabdominal inflammatory mainly operation．with of hasitsown be and intestinalobstruction．butcharacteristicsandcan cured typicalsymptomssigns conservativetreatment． by [Keyw．舯蝴Intestinalobstruction；Diagnosis；Treatment in— 术后早期均有短暂(1～2d)肛门排气甚至排便，随 术后早期炎性肠梗阻(earlypostoperative smallbowel obstruction，EPISBO)是发 flammatory 后又发生肠梗阻，最早为术后第4天，最长者为术后 生在腹部手术后早期，由于腹部手术创伤或腹腔内 第12天出现。