腹部手术后早期炎性肠梗阻治疗观察.docVIP

腹部手术后早期炎性肠梗阻治疗观察 目的探究腹部手术早期炎性肠梗阻的治疗及其效果。方法随 机选取本院2008年9月?2015年3月收治入院的早期炎性肠梗阻患 者310例，回顾性分析本组患者的临床资料，分析总结腹部术后早期 炎性肠梗阻治疗方法及其效果。结果本组患者首先均通过药物保守治 疗后287例成功治愈出院，占据92. 58%,药物治疗无效后通过手术治 疗的23例，占据7. 42%，最终手术成功治愈出院。结论对于腹部术 后早期炎性肠根阻患者，临床应尽快实施实施药物治疗，并在治疗过 程中观察患者病情情况，针对病情加重的患者应适当考虑手术治疗， 继而提高临床治愈率。 和著作权归原 所有， 匕 关键词：腹部手术；炎性肠梗阻；治疗方法；治愈率 R656 A 1006-1959 (2017) 14-0074-02 Observation of Early Inflammatory Bowel Obstruction after Abdominal Surgery XIE Xu-ping (Department of Abdominal Surgery, Ganzhou Cancer Hospital, Ganzhou 341000, Jiangxi, China) Abstract: Objective To explore the treatment of early inflammatory bowel obstruction in abdominal surgery and its effect. Methods 310 patients with early inflammatory bowel obstruction admitted in our hospital from September 2008 to March 2015 were retrospectively analyzed. The clinical data of the patients were analyzed retrospectively. The treatment methods of early postoperative inflammatory bowel obstruction effect. Results The patients were first by drugs after conservative treatment of 287 cases were successfully cured, accounted for 92. 58%，23 cases of drug therapy after surgery accounted for 7.42%， the final operation successfully cured. Conclusion For patients with early inflammatory intestinal obstruction after abdominal surgery clinical root, should be implemented as soon as possible the implementation of drug treatment, and in treatment in the process of observing the patient’s condition, for sicker patients should be appropriate to consider surgery， and improve the clinical cure rate. Key words : Abdominal surgery ； Inflammatory bowel obstruction； Treatment； Cure rate 腹部术后患者常出现早期炎性肠梗阻，其作为临床中常见的并发 症之一，相关文献资料调查显示，大约有20%的腹部手术患者在术后 出现不同程度炎形肠梗阻，并且本病在临床中的误诊率也较高，其已 经严重影响患者临床预后和生活质量［1］。本文为进一步探究腹部手术 早期炎性肠梗阻的治疗及其效果，特针对本院2008年9月?2015年3 月收治入院的早期炎性肠梗阻患者310例展开回顾性分析，详细分析 结果如下。 1资料与方法 1.1 一般资料 随机选取本院2008年9月?2015年3月收治的早期炎性肠梗阻 患者310例，诊断标准：近期存在腹部手术史且术后患者的肠功能恢 复正常，进食后患者再次出现显著的肠梗阻情况；患者出现显著的腹 胀、腹痛及恶心、呕吐和肛门排气障碍等症状；体格检查结果显示腹 部刺激症状，并存在局部压痛、反跳