| 腹部手术后早期炎性肠梗阻的诊断与治疗 |
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| 引用本文： | 唐良玉,左明. 腹部手术后早期炎性肠梗阻的诊断与治疗[J]. 职业卫生与病伤, 2011, 26(2): 109-111 |
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| 作者姓名： | 唐良玉 左明 |
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| 作者单位： | 1. 仁寿文宫医院,四川,仁寿,620560
2. 四川省肿瘤医院,四川,成都,610041 |
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| 摘 要： | 目的探讨腹部手术后早期炎性肠梗阻的临床特点与治疗。方法回顾性分析2000-01/2008-0 1本院保守治疗腹部外科手术后早期炎性肠梗阻患者31例的临床资料。结果本组患者经腹部肿瘤根治手术17例（55%）,化脓性和坏疽性阑尾炎术后5例（16.13%）,小肠外伤穿孔部分切除术后3例（9.68%）,广泛肠粘连分离6例（19.35%）。肠梗阻主要发生在术后5-8 d,27例发生在2周内。发生炎性肠梗阻后保守治疗1周内患者肠梗阻症状及体征均开始缓解,经过2周左右的保守治疗28例胃肠道功能恢复。有3例超过3周,平均治愈时间为15.1 d。结论腹部外科手术后早期炎性肠梗阻是较常见的并发症,临床表现特殊,治疗期间严密观察病情变化,采用保守治疗是可行的。
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| 关 键 词： | 腹部手术 早期炎性肠梗阻 诊断 治疗 |
Diagnosis and Treatment of the Early Postoperative Inflammatory Small Bowel Obstruction Aafter Abdominal Operation |
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| TANG Liang-yu,ZUO Ming. Diagnosis and Treatment of the Early Postoperative Inflammatory Small Bowel Obstruction Aafter Abdominal Operation[J]. Journal of Occupational Health and Damage, 2011, 26(2): 109-111 |
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| Authors: | TANG Liang-yu ZUO Ming |
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| Affiliation: | TANG Liang-yu1,ZUO Ming2 1 Department of General Surgery,Renshou Wengong Hospital,Renshou 620560,Sichuan Province,China.2 Department of Abdominal Surgery Sichuan Cancer Hospital,Chengdu,610041,China. |
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| Abstract: | Objective To investigate the clinical feature and the treatment of the early postoperative inflammatory small bowel obstruction(EPISBO).Methods The clinical date of 31 patients with EPISBO afterabdominal operation who were treaded during January 2000 to January 2008 were analyzed retrospectively.Results There were 17 cases occurred EPISBO after abdominal operation with malignant tumor(55%),57 cases occurred after operarion on suppurative or gangrenous appendicitis(16.13%),3 cases occurred after partial rese... |
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| Keywords: | EPISBO diagnosis conservative treatment |
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