Early postoperative inflammatory ileus analysis of 13 cases.docVIP

 PAGE \* MERGEFORMAT 11 Early postoperative inflammatory ileus analysis of 13 cases Author: Wang Qiang CHEN Kan-Song CHEN Lun-Kuan Chou Fu-hai Keywords: Diagnosis and treatment of early postoperative inflammatory ileus Early postoperative inflammatory ileus in recent years have been gradually recognized in the abdomen of a special type of bowel obstruction after surgery, multiple intra-abdominal contamination occurred in heavy large trauma surgery. Most scholars believe that it has both the obstruction of the common, has its particularity. In the past for its lack of knowledge, not handled properly, prone to intestinal necrosis, intestinal fistula, severe infections and other serious consequences. By 2003 year 10 to the right hospital in September 2008 after 13 cases of early diagnosis and treatment of patients with inflammatory bowel obstruction data summary report are as follows. A clinical data 1.1 General information on 13 cases in this group 9 males and 4 females; aged 21 to 83 years, mean 58.3 years. Surgery Type: Purulent appendectomy in 3 cases of acute gastroduodenal perforation repair in 1 case, subtotal gastrectomy in 2 cases, trauma with multiple injuries (one or two more intra-abdominal organ injury with head or chest injury) after 3 cases of acute obstructive suppurative cholangitis after drainage in 2 cases of right colon cancer radical mastectomy in 2 cases. 1.2 clinical manifestations of 13 cases of patients with intestinal symptoms are present in the anus have been venting or after defecation and eating occurred after obstruction time 4 ~ 13d, an average of 6.9d. Have varying degrees of abdominal distention and anus to stop exhaust, defecation, abdominal pain, mainly for the pain, there are varying degrees of nausea and vomiting. Bulging abdominal signs for a more symmetric, without the limitations of uplift mass, no significant intestinal and peristaltic waves, abdomen soft, mild tenderness, no rebound