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急性粘连性肠梗阻的治疗 被引量:3

The Treatment for Patients with Acute Adhesive
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摘要 目的:探讨急性粘连性肠梗阻的治疗。方法:112例全身情况尚可,无明显肠绞窄征象,无典型腹膜炎表现的患者进行胃肠减压、抗炎、补液、纠正电解质、监测生命体征等保守治疗,9例有腹膜炎体征入院后行急诊手术治疗。结果:112例保守治疗后96例痊愈出院,其中16例2月后再次发作。9例有腹膜炎体征入院后行急诊手术治疗,术中出现有肠坏死作肠切除者4例。结论:对保守治疗无效,或怀疑有绞窄性肠梗阻可能时宜进行手术。 Objective:To explore the treatment for patients with acute adhesive intestinal obstruction. Method: 112 cases acute adhesive intestinal obstrnction patients who had not peritonitis were treated with conservative treatment. 9 cacses acute adhesive intestinal obstrnction patients who had peritonitis were operated. Result: 96 cases acute adhesive intestinal obstrnction patients recovered after conservative treatment. 4 cases that had peritonitis were treated with enterotomy. Conclusion: The acute adhesive intestinal obstrnction patients that had peritonitis must be operated earlier.
作者 蔡国源
出处 《河北医学》 CAS 2008年第6期698-699,共2页 Hebei Medicine
关键词 粘连性肠梗阻 Adhesive intestinal obstrnetion Treatment
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参考文献2

  • 1Ellis H. The clinical significance of adhesions:fo- cus on intestinal obstruction [ J ]. Eur Surg ( Suppl ), 1997,557:5 -9.
  • 2Bizer LS, Liebling RW, Delany HM, et al. Small bowel obstruction: the role of nonoperative treatment in simple intestinal obstruction and predictive criteria for strangulation obstruction[ J]. Surgery, 1981,89:407 -413.

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