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小儿阑尾炎术后早期炎性肠梗阻的诊疗分析
引用本文:吴坚,高雷. 小儿阑尾炎术后早期炎性肠梗阻的诊疗分析[J]. 河南医学研究, 2008, 17(2)
作者姓名:吴坚  高雷
作者单位:广东省海丰县彭湃纪念医院外三科,广东海丰,516400;河南省平顶山市第一人民医院,河南平顶山,467000
摘    要:目的:探讨小儿阑尾炎术后早期炎性肠梗阻的临床特点、诊断、治疗和预防.方法:对36例小儿阑尾炎术后早期炎性肠梗阻的治疗结果进行回顾性分析.结果:36例患儿经胃肠减压、肠外营养、肾上腺皮质激素、生长抑素等疗法治愈,平均7天,无一例再次手术.结论:小儿阑尾炎术后早期炎性肠梗阻常发生于术后4~13天,有典型的临床特点,保守治疗可治愈.

关 键 词:术后早期炎性肠梗阻  小儿阑尾炎  保守治疗  预防

Analysis of diagnosis and treatment of early postoperative inflammatory small bowel obstruction in pediatric appendicitis cases
WU Jian,GAO Lei. Analysis of diagnosis and treatment of early postoperative inflammatory small bowel obstruction in pediatric appendicitis cases[J]. Henan Medical Research, 2008, 17(2)
Authors:WU Jian  GAO Lei
Abstract:Objective:To investigate the clinical features,diagnosis,treatment and prevention of early postoperative inflammatory small bowel obstruction in pediatric appendicitis cases.Methods:Thirty-six cases with early postoperative inflammatory small bowel obstruction were analyzed retrospectively.Results:Thirty-six cases were all cured in the mean period of 7 days through gastroenteral decompression,TPN,dexamethasone,somatostatin and other medication.There was no reoperations.Conclusion:Early postoperative inflammatory small bowel obstruction in pediatric appendicitis cases mostly occurs in about 4-13 days after operation.It has typical clinical features.Conservative treatment can cure early postoperative inflammatory small bowel obstruction.
Keywords:early postoperative inflammatory small bowel obstruction  pediatric appendicitis  conservative treatment  prevention
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