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术后早期炎性肠梗阻临床诊治体会
引用本文:秦正龙,杜丽萍,贾维嘉,张雁峰. 术后早期炎性肠梗阻临床诊治体会[J]. 山西职工医学院学报, 2003, 13(1): 5-6
作者姓名:秦正龙  杜丽萍  贾维嘉  张雁峰
作者单位:山西省晋中市第二人民医院,山西,太谷,030800
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53例术后早期炎性肠梗阻的临床特点及治疗效果。结果:53例术后早期炎性肠梗阻均发生在术后1周左右,保守治疗47例,梗阻缓解时间3d一42d,平均12.7d;手术治疗6例。结论:术后早期炎性肠梗阻多发生在术后5d一7d,可表现为典型的肠梗阻体征,多由小肠无菌性炎症致广泛肠粘连引起,多数病例采用保守疗法可治愈。

关 键 词:术后 早期 炎性肠梗阻 诊断 治疗
文章编号:1671-0126(2003)01-0005-02
修稿时间:2003-01-07

Experience in Diagnosis and Treatment of Early Postoperative Inflammatory Ileus
QIN Zheng-long,DU Li-ping,JIA Wei-jia,ZHANG Yan-feng. Experience in Diagnosis and Treatment of Early Postoperative Inflammatory Ileus[J]. Journal of Shanxi Medical College For Continuing Education, 2003, 13(1): 5-6
Authors:QIN Zheng-long  DU Li-ping  JIA Wei-jia  ZHANG Yan-feng
Abstract:Objective:To investigate clinical features and treatment of early postoperative inflammatory ileus(EPII).Methods: 53 patients with EPII were analyzed retrospectively.Results: Intestinal obstruction occurred within the first week after operation in all the 53 cases,47 patients received conservative treatment and achieved remission 3 to 42 days (mean 12.7 days) ,6 had surgery.Conclusion: EPII mostly occurs in about 5 to 7 days after operation,presenting as typical ileus sign.Most cases were caused by extensive adhesion resulted from aseptic inflammations.Conservative treatment should be the first choice for most EPII patients.
Keywords:inflammatory ileus  operation  conservative treatment
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