摘要
延迟性术后肠麻痹(PPOI)作为常见的手术并发症,近年来受到了国内外学者越来越多的关注。PPOI常常表现为术后不能耐受经口进食、恶心呕吐、腹痛腹胀、排气排便延迟,同时会延长住院时间、增加医疗支出。目前关于PPOI的发生机制尚无定论,但可以肯定的是该疾病由多种机制共同介导。在临床工作中,PPOI仍然没有通用的诊断标准、治疗方法、预防策略。而加速康复外科的理论和实践有可能为PPOI的预防和治疗带来新思路。现本文就PPOI的研究现状和防治策略作一综述。
Prolonged postoperative ileus(PPOI),as a common surgical complication,has attracted more and more attention of domestic scholars in recent years.PPOI is often manifested as intolerance of oral feeding,nausea and vomiting,abdominal pain,abdominal distention,delayed exhaust and defecation,and prolonged hospital stay and increased medical expenditure.At present,the pathogenesis of PPOI has not been determined,but it is certain that the disease is mediated by a variety of mechanisms.In clinical work,PPOI still have no general diagnostic criteria,treatment methods and prevention strategies.The theory and practice of accelerated rehabilitation surgery may bring new ideas for the prevention and treatment of PPOI.This paper reviews the research status and prevention strategies of PPOI.
作者
张景辉
杨盈赤
Zhang Jinghui;Yang Yingchi(Department of General Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《国际外科学杂志》
2019年第11期788-792,共5页
International Journal of Surgery
关键词
肠假性梗阻
诊断
康复
加速康复外科
Intestinal pseudo-obstruction
Diagnosis
Rehabilitation
Enhanced recovery after surgery
