目的 探讨术后早期炎症性肠梗阻的诊断和治疗。
方法 对我院1995年至1999年间收治的16例术后早期炎症性肠梗阻患者的临床资料进行回顾性分析。
结果 15例患者经胃肠减压、抗生素、理疗、肾上腺皮质激素及中药等治疗治愈,平均治疗时间11天; 中转手术治疗1例,无1例肠坏死。
结论 术后早期炎症性肠梗阻的特点有: ①多在手术后7天左右出现梗阻症状,多由腹腔内炎症所致广泛粘连引起; ②症状以腹胀为主,腹痛相对较轻,较少发生肠绞窄; ③治疗应首选非手术疗法。
Citation:
王荣华,黄秀芝,欧琨,邢雪,陈强谱,裴象昌. THE DIAGNOSIS AND TREATMENT OF EARLY POSTOPERATIVE INFLAMMATORY SMALL BOWEL OBSTRUCTION (REPORT OF 16 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2001, 8(3): 194-195. doi:
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黎介寿.认识术后早期炎症性肠梗阻的特点 〔J〕.中国实用外科杂志,1998; 18(7)∶387.
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Stewart RM, Page CP, Brender J, et al. The incidence and risk of early postoperative small bowel obstruction 〔J〕. Am J Surg,1987; 154(6)∶643.
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Velasco JM, Vallian VL, Bonoms SR, et al. Postoperative small bowel obstruction rethinking its management 〔J〕. Surg Endosc,1998; 12(8)∶1043.
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- 1. 黎介寿.认识术后早期炎症性肠梗阻的特点 〔J〕.中国实用外科杂志,1998; 18(7)∶387.
- 2. Stewart RM, Page CP, Brender J, et al. The incidence and risk of early postoperative small bowel obstruction 〔J〕. Am J Surg,1987; 154(6)∶643.
- 3. Velasco JM, Vallian VL, Bonoms SR, et al. Postoperative small bowel obstruction rethinking its management 〔J〕. Surg Endosc,1998; 12(8)∶1043.