摘要
目的探讨腹部手术治疗后患者早期炎性肠梗阻的临床表现特点,重点评估分析其临床诊治方法及其可行性。方法回顾性统计分析了该院在2012年1月—2017年10月期间收治的相关患者56例,该次56例以随机抽样方式选择。总结腹部手术后早期炎性肠梗阻治疗的可行性方案对该组56例腹部术后早期炎性肠梗阻患者给予个体化的综合疗法。统计分析治疗方案以及其临床应用价值。结果该组56例患者均是先进行药物保守治疗,治愈51例,治愈率高达91.1%;余下5例转由手术治疗,二次手术后住院一段时间内均治愈出院。56例患者住院时间(20.6±4.0)d,腹胀消失(4.2±0.7)d,腹痛消失(1.7±0.1)d,呕吐消失(0.3±0.2)d。结论腹部手术后早期炎性肠梗阻患者诊治,应以药物保守治疗为主,强调控制、缓解。对患者全程密切监测,观察记录患者各项生命体征。对于病情加重或者保守治疗无效的患者,可再次采取手术治疗。以提升患者生命质量为基准点,旨在提高临床疗效。
Objective To study the clinical features of early intestinal obstruction after Abdominal surgery and especially evaluate and analyze the clinical diagnosis and treatment method and its feasibility. Methods 56 cases of related patients admitted and treated in our hospital from January 2012 to October 2017 were selected, and the feasibility of early intestinal obstruction after abdominal surgery was summarized, and the patients were for individualized comprehensive therapy, and the treatment plan was counted and analyzed, and the clinical application value was summarized. Results The 56 cases of patients were for conservative therapy of advanced drugs, and 51 cases were cured, and the cure rate was 91.1%, and the other 5 cases were converted to the operation, and they were discharged and cured after the second surgery, and the length of stay, abdominal distension disappearance time, abdominal pains disappearance time and vomiting disappearance time of56 cases were respectively（20.6±4.0）d,（4.2±0.7）d,（1.7±0.1）d,（0.3±0.2）d. Conclusion The drug conservative therapy should be the main in diagnosis and treatment of patients with early intestinal obstruction after abdominal surgery, and the control and relief should be emphasized, and we should closely monitor the patients and observe various vital signs of patients, for patients with disease exacerbation or ineffective conservative treatment, the second surgical operation can be conducted to improve the quality of life of patients and improve the clinical effect.
作者
吴立格
WU Li-ge(Department of Surgery, Jilin Public Security Border General Hospital, Changchun, Jilin Province, 130051 China)
出处
《中外医疗》
2018年第12期73-74,81,共3页
China & Foreign Medical Treatment
关键词
腹部手术
炎性肠梗阻
疗效
Abdominal surgery
InflammatolT intestinal obstruction
Curative effect
