摘要
粘连性肠梗阻是腹部外科手术后的常见并发症之一,再次手术有继续并发本病的可能。本文通过常规禁食和补液,电针足三里、上下巨墟,中药大承气汤加味低压灌肠,辅以胃肠减压、内服中药、外敷中药。结果:48例中痊愈36例,显效1例,治愈率75％,另有11例需中转手术,占总数23％。认为:大多数单纯性粘连性肠梗阻,通过积极的非手术治疗多可奏效,其中中药灌肠最为主要,且要强调一个“早”字。同时施用针刺疗法,可补单纯注射阿托品解痉之不足,起到镇痛持久、有效及协调胃肠蠕动、有助排便排气等作用。有时于灌肠同时,加服中药,或胃肠减压等,亦利于梗阻的松解。如需中转手术者,宜及时进行。临床观察表明,非手术治疗粘连性肠梗阻不失为一种好方法。
Forty-eight cases of adhesive ileus were treated with non-operative treatment. The methods such as, fasting, fluid infusion, electroacupuncture on Zusanli, Shangjuxu and Xiajuxu points, and low pressure enema with Decoction for Potent Purgation, were used as the routine treatment, with gastrointestinal decompression, oral administration or external application of herbal medicine as the complemental treatment. The result showed that among the 48 cases, 36 were cured, 1 was markedly effective, the curative rate being 75%. Operation was performed in the rest cases(23%). It is considered that active non-operative treatment is effective for most simple adhesive ileus. In the treatment, enema with herbal medicine should be done as early as possible. For those who are not suited to non-operative treatment, operation should be done without delay. Clinical observations show that nonoperative treatment is an ideal method to treat adhesive ileus.
关键词
肠梗阻
中西医结合
足三里
承气汤
INTESTINAL OBSTRUCTION/TCM-WM ther
CHENG QI TANG/therapeutic use
ZU SAN LI
SHANG JU XU
XIA JU XU
