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腹部手术后早期炎性肠梗阻37例临床分析 被引量:1

Clinical analysis of early postoperative inflammatory ileus after abdominal operation :a report of 37 cases
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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。方法回顾性分析我院1999年1月至2007年1月收治的37例术后早期炎性肠梗阻患者的临床资料。结果15例术后早期炎性肠梗阻发生于术后1周内,保守治疗34例,肠梗阻缓解时间1~6周,平均13.2d,手术治疗3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术后并发症。 Objective To investigate the diagnosis and treatment of early postoperative inflammatory ileus (EPII). Methods The clinical data of 37 patients with EPII treated in this hospital from Jan 1999 to Jan 2007 were retrospectively reviewed and analyzed. Results Intestinal obstruction occurred in 15 cases within the first week after operation. Remission was achieved in 34 patients within 1 - 6 weeks (average 13. 2 days) by conservative treatment, and 3 cases were operated again. Conclusion Conservative treatment for 4 - 6 weeks is necessary for 'all patients with EPⅡ before obstruction, if it is failed, then relieving operation should be considered. This regimen can avoid unnecessary operation and reduce postoperative complications.
作者 杨学军
出处 《临床和实验医学杂志》 2008年第2期128-129,共2页 Journal of Clinical and Experimental Medicine
关键词 肠梗阻 术后早期炎性肠梗阻 临床分析 并发症 Ileus Early postoperative inflammatory ileus
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