[摘要] 目的 探讨术后早期炎性肠梗阻的临床特点及诊断、治疗、预防措施。 方法 总结分析23例腹部手术后早期炎性肠梗阻的临床表现、治疗方法、并提出预防措施。 结果 23例术后早期炎性肠梗阻均经胃肠减压,应用生长抑素、全胃肠外营养支持等治疗痊愈,平均治愈时间17.3天。 结论 术后早期炎性肠梗阻发生在术后2周以内,临床上有典型的肠梗阻症状和体征,多为小肠炎性水肿粘连所致,应采用非手术治疗。

    [关键词] 炎性肠梗阻 手术后并发症

    中图分类号:R574.2 文献标识号:A文章编号:1005-0515(2010)09-017-02

    【Abstract】 Objective To explore and summarize the clinical characteristics, diagnosis, treatment and precaution of early inflammatory ileus after operation. Methods Clinical manifestations and treatments of 23 cases of early inflammatory ileus after undergoing abdominal operation were retrospectively analyzed and the preventive measures were proposed. Results All 23 cases of early inflammatory ileus were cured through gastrointestinal decompression, total parenteral nutrition and treatment with somatostain. The average treatment time was 17.3 days. Conclusions Most of the early inflammatory ileus occurred in two weeks after operation. The typical ileus is mainly caused by inflammatory edema and adhesion of the small intestinal. No operation is proposed for the treatment of early inflammatory ileus. ......