小儿粘连性肠梗阻手术时机的选择

目的 探讨小儿粘连性肠梗阻治疗中手术时机的选择。方法 回顾性分析我院自1990年1月至2002年10月收治的187例小儿粘连性肠梗阻病例，结合献资料讨论其手术时机的选择问题。结果 非手术治疗小儿粘连性肠梗阻104例。手术治疗83例，急症手术56例，其中肠切除15例(26．8％)，死亡2例(3．6％)，平均住院11天；非手术治疗无效转手术治疗27例，其中肠切除10例(37．0％)，死亡2例(7．4％)，平均住院20天。结论 小儿粘连性肠梗阻非手术治疗无效应及时手术治疗。

Operative chance for adhesive intestinal obstruction in children

Objective To investigate the operative chance for adhesive intestinal obstruction in children. Methods Data of 187 above cases in our hospital from January 1990 to October 2002 were analyzed retrospectively, with a review of recent literatures. Results One hundred and four cases were successfully treated by conservative therapy. Eighty three cases were treated with operation. Fifty six cases underwent an emergency operation with 15 cases undergoing a bowel resection (26.8%), and 2 in 56 cases died from septic shock after operation and mortality rate was 3.6% , the mean hospital stay was 11 days.Twenty seven cases were operated when conservative therapy was ineffective, 10 of them underwent a bowel resection (37.0% ), 2 in 27 cases died from septic shock after operation and mortality was 7.4%, the mean hospital stay was 20 days. Conclusion Operation should be performed in time when conservative treatment is ineffective.