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术后早期炎性肠梗阻68例诊治体会
引用本文:郝志军,李福荣,王键牛,福勇.术后早期炎性肠梗阻68例诊治体会[J].延安大学学报(医学科学版),2008,6(4):57-58.
作者姓名:郝志军  李福荣  王键牛  福勇
作者单位:榆林市第一医院普外科,陕西,绥德718000
摘    要:目的探讨术后早期炎性肠梗阻的临床特点及处理方法。方法分析68例术后早期炎性肠梗阻的临床特点及治疗结果。结果68例均经胃肠减压,应用糖皮质激素和生长抑素,肠外营养等支持疗法,平均治愈时间为9.5d,无一例再手术。结论术后早期炎性肠梗阻多发生在术后5~8d,可表现为典型的肠梗阻体征,多由小肠无菌性炎症广泛肠粘连引起,多数病例采用保守疗法可治愈。

关 键 词:肠梗阻  炎性肠梗阻

Experiences in diagnosis and treatment of early postoperative inflammatory small intestinal obstruction
HAO Zhi-jun,LI Fu-rong,WANG Jian,NIU Fu-yong.Experiences in diagnosis and treatment of early postoperative inflammatory small intestinal obstruction[J].Journal of Yanan University:Medical Science Edition,2008,6(4):57-58.
Authors:HAO Zhi-jun  LI Fu-rong  WANG Jian  NIU Fu-yong
Institution:(a report of 65 cases. Hao zhijun, Department of surgery, Yulin first hospital. Suide 718000, China. )
Abstract:Objective To investigate the principles of diagnosis and treatment of early postoperative inflammatory small intestinal obstruction(EPISBO).Methods sixty-eight cases with early postoperative inflammatory small bowel obstruction were analyzed retrospectively.Results sixty-eight cases were all cured in the mean period 9.5 days through gastroenterology decompression.glucocorticoid and somatostatin.TPN and other medications.There was on reoperations.Conclusion EPISBO mostly occurs in about 5-8days postoperatively.EPISBO has the clinical features.Most cases were caused by extensive adhesion resulted from aseptic inflammations.Conservative treatment should be the first choice for EPISBO patients.
Keywords:Intestinal obstruction Inflammatory small bowel obstruction
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