Acute colonic pseudo-obstruction after surgery the pathogenesis diagnosis and treatment.docVIP

 PAGE \* MERGEFORMAT 11 Acute colonic pseudo-obstruction after surgery the pathogenesis diagnosis and treatment Of: Wei Wei, Tang Yu Jin, Weizhong Heng, Tan Hongmei [Abstract] Objective To investigate the postoperative acute colonic pseudo-obstruction (ACPO) of the clinical features and treatment. Methods Retrospective analysis of 32 cases of post-operative clinical data of patients with ACPO. Results showed patients were 5 to 8 days after surgery there were sexual increasing abdominal distention, stop defecation exhaust, bowel sounds normal, reduced or lost, abdominal X-ray film were flatulence expansion of the colon, colonoscopy showed a colonic see all patients intestinal anemic status, agegt; 50 years old accounted for 75.00%, often accompanied by serious medical basis of disease accounted for 50.00%. to fasting, gastrointestinal decompression, gastric tube and the injection of liquid paraffin Ru Xisha will benefit Dachengqitang, maintain water and electrolyte balance, nutritional support and treatment of .17 cases cause patients cured by conservative treatment, 11 patients to the emergency colonoscopy and decompression relieved the symptoms, 5 patients underwent surgical treatment, surgery for diabetic ketoacidosis, myocardial infarction and death in 1 case. Conclusion ACPO disease low, but the foundation is often accompanied by serious medical illness, often more severe disease, to understand the clinical features and actively deal with regular access to the desired therapeutic effect. [Keywords:] colonic pseudo-obstruction of postoperative complications / therapy clinical features Acute colonic pseudo-obstruction (acute colonic pseudo-obstruction, ACPO) is a clinical signs and symptoms of bowel obstruction, but no colon syndrome a group of organic disease, mostly secondary to abdominal pelvic surgery [1]. Despite the well-defined, but because of low incidence, and other types of obstruction is difficult to distinguish, often resulting in misd