术后早期炎症性肠梗阻的诊断与治疗理念

术后早期炎症性肠梗阻多因腹部手术创伤及腹腔内无菌性炎症等原因引起的肠壁水肿及渗出,形成的动力性和机械性并存的粘连性肠梗阻.诊断标准:(1)腹部术后2周内发生肠梗阻;(2)术后肠功能短暂恢复,进食水后再出现肠梗阻,以腹胀为主;(3)腹部X线平片和全腹CT多个小的液气平面,无高度扩张的肠管.治疗理念:(1)禁食水+胃肠减压...

Diagnosis and treatment of inflammatory ileus in an early postoperative period

Inflammatory ileus is defined as a complicated adhesive intestinal obstruction,involving dynamic and mechanical factors because of edema and effusion caused by abdominal surgical trauma and aseptic inflammation.Diagnostic criteria of inflammatory ileus in early postoperative period include:1.Ileus occurring within 2 weeks post operation;2.Postoperative temporal recovery of intestinal function followed by secondary obstruction with major symptoms of abdominal distention;3.Excluding symptoms of strangulating ...