小儿术后早期炎症性肠梗阻(附21例报告)

目的 探讨小儿术后早期炎症性肠梗阻的诊断及治疗。方法 对我院1994年6月－2001年7月收治的21例术后早期炎症性肠梗阻患儿的临床资料进行回顾性分析。结果 21例患儿均经胃肠减压、抗生素、肾上腺皮质激素、理序及中药等治疗，20例保守治疗成功，平均治疗时间约10天，中转手术1例，无肠坏死，也治愈出院。结论 小儿术后早期炎症肠梗阻的特点有：（1）多数于术后7天左右出现肠梗阻症状，多由腹腔内炎症所致广泛肠粘连引起；（2）症状以腹胀为主，腹痛相对较轻，较少发生肠绞窄；（3）治疗应首选保守治疗。

Early postoperative inflammatory small bowel obs truction in children(21 cases report)

Objectives:To discuss the diagnosis and treatment of early postoperative inflammatory small bowel obstruction(EPISBO) in children.Methods: To review the clinical datum of 21 cases of children with EPISBO received in our hospital from June 1994 to July 2001.Results: 21 cases had been treated by conservative therapy first,which consisted of nasogastric drainage,antibiotics,hormone,physical therapy and Chinese medicine.20 cases had been cured through conservative therapy for about 10 days and the other one had to receive operation again.Conclusion:The characteristics of EPISBO in children are:(1) Small bowel obstruction usually occurs in about 7 days after the first operation in most cases with EPISBO,which is caused by small bowel adhension because of inflammation in abdominal cavity in early phase.(2)Abdominal distension can be recognised in most cases,abdominal pain may occur in a few cases.(3)Most cases can be cured through conservative therapy.