重症急性胰腺炎并发结肠梗阻原因分析及处理

探讨重症急性胰腺炎并发结肠狭窄梗阻的原因及临床防治措施。方法回顾性分析１９９７年１１月－１９９９年１２月重症腺炎治疗过程中结肠梗阻发生率、发生时间与部位及其与治疗选择的相关性及治疗方法和效果。结果本组重症急性胰腺炎并发结肠梗阻发生率为３．９％，其发生部位多位于结肠主横结肠，梗阻症状多在重症急性胰腺炎行非手术治疗后２－３个月内出现并进行性加重。本组病例均行手术切除狭窄肠段而治愈。结论重症急性胰腺炎并

The cause and management of severe acute pancreatitis accompanying colonic ileus

Objective To investigate the cause and management of colonic complicated with severe acute pancreatitis.Methods A retrospective study of severe acute pancreatitis accompanying colonic ileus between Nov.1997 and Dec.1999 and its time,location of incidence and therapeutic decision.Results The incidence rate of colonic ileus complicated with severe pancreatitis is 3.9%.Its location often occur to splenic flexure and transverse colon.Clinical symptom always appear in two or three months after non operation therapy and progressive aggravate.All cases of the study group were cured by resection of stenosis colon.Conclusions Colonic ileus of severe acute pancreatitis is correlated to individual difference and delayed operation.