摘要
目的探讨腹部手术后早期炎性肠梗阻的病理机制、临床特点和治疗方法。方法回顾性分析我科诊治的术后早期炎性肠梗阻36例。结果36例患者经胃肠减压、抗炎、应用生长抑素、肾上腺皮质激素、全胃肠外营养结合中药、针灸等保守治疗治愈;平均治愈时间为12d,无一例发生肠坏死。结论术后早期炎性肠梗阻好发于腹部手术后2周以内,主要是因为腹腔内炎症所致广泛粘连所引起。症状以腹胀为主,腹痛相对较轻,部分患者有少量肛门排气排便,很少发生肠绞窄坏死。治疗上最好予以中西医结合的保守治疗。
Objective To investigate the pathomechanism, clinical characteristics and the method of treatment of early postoperative inflammatory small bowel obstruction （EPISBO）. Methods Clinical data of 36 cases of early postoperative inflammatory small bowel obstruction were analyzed retrospectively. Results Thirty - six patients recovered after nonoperative treatment including gastrointestinal decompression, administration of antibiotics and somatostatin, adrenal cortex hormone, total parenteral alimentation, traditional Chinese medicine and acupuncture, etc. The mean curing time was 12 days and none had intestinal necrosis. Conclusion The early postoperative inflammatory small bowel obstruction often occurs within two weeks after abdominal operation, mainly because of intestinal adhesions resulted from abdominal inflammation. The main symptoms include abdominal distention and mild abdominal pain. Passage of flatus or stool happens in some patients, and strangulation seldom occurs. Conservative treatments including combination of TCM with Western medicine are effective.
出处
《临床和实验医学杂志》
2009年第1期43-44,共2页
Journal of Clinical and Experimental Medicine
关键词
早期炎性肠梗阻
外科手术
中西医结合
保守治疗
Early inflammatory small bowel obstruction
Surgical procedures operative
Combination of TCM with WM
Conservative treatment
