目的:探讨腹部手术后早期炎性肠梗阻的临床诊断及治疗措施。
Objective:To investigate the principles of diagnosis and treatment of early postoperative inflammatory ileus(EPII).
结论:术后早期肠梗阻多发生于术后1 ~2周,与手术操作广泛、手术创伤大有关。
Conclusion Early postoperative inflammatory small bowel obstruction mainly occurs in about 1 ~ 2 weeks after operation and is related to extensive operation and insult.
结论:有了明确诊断,良好的手术技术及良好的术后护理,是肠梗阻患者早日恢复健康的基本保证。
Conclusion: there is a definite diagnosis, good surgical technique and good postoperative nursing, early recovery is obstruction patients the basic guarantee.
方法:回顾性总结分析对6例急性肠梗阻的诊断,手术治疗及术后护理的全部临床资料。
Methods: a retrospective summary analysis the diagnosis of acute intestinal obstruction in 6 cases, surgery and postoperative nursing clinical data of all.
方法回顾性分析大肠癌手术424例术后早期肠梗阻32例的临床资料。
Methods Recalling analyzing clinical data for 32 cases of early stage intestine obstruction after 424 cases of large intestine cancer operation.
结果本组粘连性肠梗阻的病因包括手术后粘连22例、腹部慢性炎症粘连5例、先天性发育异常1例。
Retults In the group, there were abdominal operation previously in 22 cases, acute or chronic inflammation of abdomen in 5 cases, and congenital intestinal obstruction in 1 case.
结论术后早期炎性肠梗阻多发生在术后2周以内,临床上有典型的肠梗阻症状和体征,非手术治疗效果满意。
Conclusion EPISBO occurs much in the technique latter 2 weeks, on clinical the patient has the model the intestinal obstruction symptom. The non - surgery treatment result is satisfied.
我们觉得目前的证据表明腹部手术后嚼口香糖对减少解决术后肠梗阻的时间有显著的意义。
We feel that the current evidence suggests that gum chewing following abdominal surgery offers significant benefits in reducing the time to resolution of ileus;
方法:对17例腹部手术后出现术后早期炎性肠梗阻的患儿采用禁食、胃肠减压、静脉营养支持、中药灌注、抗感染等综合治疗。
Methods: 17 cases of children with EPIOSI were treated by conservative therapy which included fasting, nasogastric drainage, total parenteral nutrition (TPN), Chinese medicine, anti-infection.
粘连性肠梗阻中81.4%为手术后所致,青年、无手术史的肠梗阻主要为结核性粘连所致。
Adhesive intestinal obstruction of 81.4% due to post surgery, youth, without major surgery for intestinal obstruction history tuberculosis caused by tuberculous adhesions.
结果:对6例急性肠梗阻患者都做出了正确诊断,并进行了手术治疗及术后的良好护理,效果良好。
Results: six patients with acute intestinal obstruction of patients have made the correct diagnosis and surgical treatment, and postoperative good care, good effect.
结果:对6例急性肠梗阻患者都做出了正确诊断,并进行了手术治疗及术后的良好护理,效果良好。
Results: six patients with acute intestinal obstruction of patients have made the correct diagnosis and surgical treatment, and postoperative good care, good effect.
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