酚妥拉明在炎症性肠梗阻中的应用(1)
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【摘要】 目的 探讨术后早期炎性肠梗阻(EPII)的诊断和治疗方法。方法 回顾性分析2000年1月至2008年12月收治的93例EPII的临床资料,并通过使用酚妥拉明的是否分为两治疗组,从而评价治疗效果。结果 本组病例均经过非手术治疗达到临床治愈,药物组较对照组治疗时间明显缩短。结论 术后早期炎性肠梗阻好发于腹部手术创伤或腹腔内炎症等原因,多发生于术后1周以内,有典型的肠梗阻症状和体征,使用酚妥拉明可以早期改善肠梗阻症状。
【关键词】 腹部手术;术后早期炎性肠梗阻;诊断;治疗
【Abstract】 Objective To discusstheDiagnosis and treatmentof the early postoperative inflammatory ileus (EPII).Methods Clinical data of 93 caseswith EPII from January 2000 to December 2007 was retrospectively studied.The treatment group were randomly divided into two through the use of phentolamine whether or not, thus evaluate theeffect.Results All thecases cured with non-surgical treatment.The experimental group was significantly shorter treatment time.Conclusion Early postoperative inflammatory ileus occurred in abdominal surgical trauma or intra-abdominal inflammation and other reasons, more than occurred in patients within 1 week, there are the typical symptoms and signs of intestinal obstruction, the use of phentolamine can be an early improvement in symptoms of intestinal obstruction ......
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