On the clinical treatment of early postoperative inflammatory ileus Experience.docVIP

 PAGE \* MERGEFORMAT 9 On the clinical treatment of early postoperative inflammatory ileus Experience [Keywords:] intestinal obstruction gastrointestinal decompression after abdominal surgery Means the occurrence of early postoperative intestinal obstruction 2 weeks after the operation of mechanical intestinal obstruction, sometimes 3 to 4 days after surgery can occur. As postoperative gastrointestinal decompression, and analgesics often hide symptoms of paroxysmal abdominal pain can be mistaken for bowel recovery of intestinal function in front of “gas pains”, as a result of watching the doctor check the inconvenience and mental misdiagnosis rate of postoperative ileus and mortality, has been reported for mortality by 23%. in our hospital from October 2008 ~ December 2009 36 patients with postoperative ileus following the final report. 1 Materials and Methods 1.1 General Information Select October 2008 ~ December 2009 36 patients with postoperative ileus, 21 males and 15 females, aged from 15 to 73 years, average 44 years old. Mild abdominal pain in 28 cases, paroxysmal abdominal pain 8 cases, mild abdominal distension in 27 cases, 6 cases of severe abdominal distention, vomiting in 18 cases, mild abdominal tenderness in 22 cases, abdominal tenderness not obvious in 11 cases, 29 cases decreased bowel sounds, bowel sounds disappeared in 4 cases. the upper abdomen surgery in 6 cases, 3 cases of intestinal surgery, 17 cases of appendicitis surgery, colon surgery in 2 cases, 6 cases of pelvic surgery, lysis of adhesive intestinal obstruction in 2 cases. 1.2 Treatment 1.2.1 early adhesive intestinal obstruction, mostly simple incomplete or complete obstruction, adhesion is not strong, there is release again through hope. Early days the main non-surgical treatment, such as re-banned diet, gastrointestinal decompression that gastrointestinal rest, reducing edema, eliminate inflammation, parenteral nutrition support, maintain water and electro