experience in treatment of 20 cases of strangulating intestinal obstruction and intestinal necrosis（遏制的经验治疗20例肠梗阻和肠坏死）.docVIP

Experience in treatment of 20 cases of strangulating intestinal obstruction and intestinal necrosis Author: Gao Jun Fu Jingdong Zhang Yanrong [Keywords:] strangulating intestinal obstruction intestinal necrosis decompression surgery In October 1996, December, 2006, we were treated with strangulating intestinal obstruction and intestinal necrosis in patients 20 cases were confirmed by surgery, the report is as follows. 1 clinical data 1.1 General Information The group of 20 cases, male 12 cases, 8 females, aged 4 to 75 years. Clinical manifestations are manifestations were abdominal pain bloating; surgery in eight cases, nausea and vomiting in 17 cases, to stop the exhaust defecation 15 cases, 2 cases of toxic shock on admission, 14 cases of tenderness, rebound, and 6 cases with only mild tenderness, body temperature above 39 ?C for 2 cases, the temperature did not rise to three cases, 2 cases of hypertension, atrial fibrillation 1 cases of coronary heart disease myocardial infarction patients, two cases of hyperactive bowel sounds and bowel sounds diminished or disappeared in 13 cases. X-ray: 16 cases of intestinal obstruction, flatulence, four cases were given after admission for gastrointestinal decompression, infusion anti-inflammatory, shock anti-shock. 1.2 The admission diagnosis of incarcerated hernia, three cases of adhesive intestinal obstruction in eight cases of appendicitis in four cases, two cases of toxic shock, the rest were diagnosed as peritonitis, bowel obstruction in which the diverticulum volvulus and necrosis of the four cases, the appendix postoperative adhesions The oppressive necrosis five cases, adhesions after cesarean section 1 cases, intestinal obstruction in 2 patients, small mesenteric hernia, mesenteric artery embolism two cases, one cases of mesenteric venous thrombosis, inguinal hernia incarceration and bowel necrosis in 2 cases, abdominal white line hernia incarcerated one cases. 1.3 Intraoperative exp