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老年不完全性肠梗阻患者非手术治疗的体会 被引量:1

The Results of Non-Operaetive Theropy on Senile Incomplete Intestinal Obstruction
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摘要 目的总结我院老年不完全性肠梗阻非手术治疗的效果,以更好地指导治疗。方法选取69例适合非手术治疗的不完全肠梗阻患者,回顾治疗过程,并着重表述促进消化道梗阻解除,减轻腹胀和肠内应用抗菌药物的措施。结果69例患者中48例完全缓解,21例部分缓解。结论老年人不完全性肠梗阻患者伴发病较多见,机体反应性差,选择非手术治疗更有利于老年患者。应用生长抑素可抑制消化液的生成,减轻腹胀;同时经静脉和肠道内给于抗菌药物能更好地防治肠道细菌移位和腹腔内感染。 Objective To summerize some results of non-operative therapy on senile incomplete intestinal obstruction in our hospital. Methods Select 69 cases senile incomplete intestinal obstruction who suit non-operative therapy, review the treatment, and particularly describe the measures of unobstruction and antibiotics used in bowels, Results Of the 69 patients, there are 48 completely catabatic cases and 21 part catabatic cases. Conclusion Old people are charecterized by frequent co-current diseases and poor reacting ability, non-operative therapy is much more profer for them. Somatostatin can decrease the secretion of digest fluid so as to alleviate the abdomen distention; it can much more efficienctly prevent the bowel bacteria immigration and peritonitis that to give the antibiotic agents via venous and gastric tube simultaneously.
机构地区 华东医院普外科
出处 《临床消化病杂志》 2006年第3期148-150,共3页 Chinese Journal of Clinical Gastroenterology
关键词 肠梗阻 老年 非手术 治疗 生长抑素 Intestinal obstruction Senile Non-operative Therapy Somatostatin
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  • 1吴阶平 裘法祖.黄家驷外科学(第6版)[M].北京:人民卫生出版社,1999.827.
  • 2Dharmsathaphorn K, Binder HJ, Dobbins JW,et al. Somatostatin stimulates sodium and chlorid absorption in the rabbitileum. Gastroenterology, 1980,78:1559.
  • 3Nellgard P, Bojo L, Cassuto J. Importance of vasoactive intestinal peptide and somatostatin for fluid losses in small-bowel obstruction. Scand J Gastroenterol ,1995,30:464.

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