术后早期炎性肠梗阻48例临床研究.docVIP

术后早期炎性肠梗阻48例临床研究【摘要】目的:探讨术后炎性肠梗阻的临床特点和治疗效果。方法:选择我院2005年10月至2009年10月腹部术后炎性肠梗阻患者48例。分析其手术其和梗阻发生时间。以上患者均给予常规保守治疗:禁食,持续胃肠减压;维持水、电解质及酸碱平衡;完全胃肠外营养支持;应用H2受体拮抗剂及生长抑素、及早使用肾上腺皮质激素、利尿剂、经胃管注入60%泛影葡胺、根据病情需要使用抗生素抗感染。结果:本组患者均经过保守治疗。其中胃肠减压时间为12.3±3.1天,腹胀、腹痛缓解时间为5.2±1.6天;排气排便时间为8.3±3.2天。治疗后经临床治疗效果评定:治愈39例,显效9例,总有效率为100%。结论:术后早期炎性肠梗阻多发生在术后术后2周内,患者多可采用非手术治疗即可治愈,一般不需手术。? 【关键词】肠梗阻;炎性;早期;保守治疗? doi:10.3969/j.issn.1006-1959.2010.08.003文章编号:1006-1959(2010)-08-1977-02? Clinical Analysis on 48 Cases of Early Inflammation Intestinal Obstruction after OperationWANG YuanDagang Oilfields General Hospital of Tianjin,300280? 【Abstract】Objective:To discuss the clinical characteristics and curative effect of early inflammation intestinal obstruction after operation.Method:48 cases with inflammation intestinal obstruction from Oct.2005 to Oct.2009 were chose as object,and their occurrence time were analyzed.All the cases were given conventional treatment:fasting,continuous gastrointestinal decompression;kept water-electrolyte and acid-base balance;complete parenteral nutritional support;applied H2 receptor antagonist and somatostatin,adrenal cortical hormone,diuretic,and injected 60% of diatrizoate;antibiotics was used according to their disease conditions.Result:Conventional treatment was performed on all the cases.The time of gastrointestinal decompression was (12.3±3.1)days,the remission time of distension and abdominal pain was (5.2±1.6)days,the time of flatus and defecation was (8.3±3.2)days.39 cases were cured,9 had obvious effect,and the total effective rate was 100%.Conclusion:Early inflammation intestinal obstruction often occurred in two weeks after operation.Patients could be cured with non-operative treatment.? 【Key words】Intestinal obstruction;Inflammatory;Early stage;Conservative treatment 术后早期炎性肠梗阻是指一般发生在腹部手术以后的早期,多是因为腹部手术的创伤以及腹腔内其他无菌性炎症所导致的肠壁出现炎性水肿以及渗出增加,引起机械性以及动力性共同存在的肠梗阻。本文分析我院48例术后炎性肠梗阻患者,观察其临床特点和治疗效果。? 1.资料和方法? 1.1一般资料:选择我院2005年10月至2009年10月腹部术后炎性肠梗阻患者48例,其中男