摘要
诊断术后早期炎性肠梗阻时应重视复习病史,了解术中情况。放置小肠减压管并进行泛影葡胺造影,不但有助于排除其他原因导致的肠梗阻,而且有助于解除梗阻。对诊断不确定的肠梗阻进行非手术治疗时要多观察,注意病情恶化。术后早期肠梗阻如果需要行手术治疗,应遵循损伤控制性手术原则,以保全肠管、恢复肠内营养或经口饮食为目的。重视采用微创手术,开腹手术时减少对内脏的损伤,预防炎性肠梗阻的发生。
A detail revision of the history and intraoperative findings are essential for the correct diagnosis of early postoperative inflammatory intestinal obstruction. Small intestinal decompression via a long tube could not only relieve obstructive symptoms, but also enable enteroclysis with gastrografin, a very helpful measure facilitating relief of obstruction during conservative treatment. For patients with early postoperative intestinal obstruction receiving conservative treatment, care should be given to avoid worsening of symptoms. If relaparotomy must be performed, one must follow the damage control principle to ensure safety of the gut and resumption of oral diet or enteral nutrition. Minimal invasiveness during abdominal operation is the key to the prophylaxis of early postoperative inflammatory intestinal obstruction.
出处
《中国实用外科杂志》
CSCD
北大核心
2013年第4期270-271,共2页
Chinese Journal of Practical Surgery
关键词
术后早期炎性肠梗阻
肠粘连
小肠减压
early postoperative inflammatory intestinalobstruction
intestinal adhesion
small intestinal decompression
