摘要:目的：探讨术后早期炎性肠梗阻的特点和诊断、治疗原则。方法：分析近期内经治的术后早期肠梗阻23例。结果：23例病人中保守治疗21例，手术治疗2例，转外院1例，死亡1例。结论：术后早期炎性肠梗阻的特点有：①发生在术后早期，常于术后3～5d开始出现梗阻症状；②症状以腹胀为主，腹痛相对较轻；③肠梗阻症状、体征十分典型，但较少发生绞窄；④保守治疗多半有效。炎性肠梗阻最好先行保守治疗。

    关键词: 早期炎性肠梗阻; 诊 断; 治疗

    Analysis of the Early Postoperative Inflammstory Small Bowel Obstruction on 23 Cases

    JIANG Sheng-zhan， GAO Cheng-ji， HOU Shi-zheng

    (The People's Hospital of Wuhe, Anhui Wuhe 233300, China)

    Abstract: Objective: To investigate the principles of diagnosis and treatment of early postoperative inflammatory small bowel obstruction(PISBO).Method: The clinical features diagnosis procedures of PISBO were analysed. Result: In the twenty –three cases. Twenty-one cases were taken conservative treatment. two cases were taken operation. Twenty-one cases were cured, one case was transferred to other hospital, one case died. Conclusion: The clinical features of PISBO are as follows:①Occuring in early stage usually three to seven days postoperatively;②Abdominal distension more prominent than abdominal pain;③With typical signs and symptoms of bowel obstruction but intestinal ischemia;④Conservative therapy usually effective. Conservative treatment should be the first choice for PISBO. ......