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术后早期炎性肠梗阻诊治体会

Experience in diagnosis and treatment of early postoperative inflammatory ileus:a report of 33 case
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摘要 目的探讨术后早期炎性肠梗阻的临床特点和治疗方法。方法分析33例术后早期炎性肠梗阻的临床特点和治疗。结果28例术后早期炎性肠梗阻发生于术后1周内,保守治疗26例,肠梗阻缓解时间1~4周,平均10.2天,手术治疗7例。结论对术后早期炎性肠梗阻应先行4~6周保守治疗,过期无缓解再行手术,这样可避免不必要的手术,并减少手术并发症。 Objective To investigate the diagnosis and treatment of early postoperative inflammatory ileus (EP Ⅱ ). Methods Clinical data of 33 cases with EP Ⅱ were analyzed retrospectively. Results Intestinal obstruction occurred within the fast week after operation in 28 cases. Remission was achieved in 26 patients within 1-6weeks (mean 10.2 days by conservative treatment. 7 cases were operated on. Condusions 4-6 week conservative treatment is necessary for all patients with EP Ⅱ before obstruction-relieving operation is considered. This protocol can avoid unnecessary operation and reduce postoperative complications.
作者 梁章焱
出处 《海南医学》 CAS 2007年第12期40-41,共2页 Hainan Medical Journal
关键词 肠梗阻 术后早期炎性肠梗阻 ileus early postoperative inflammatory ileas
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