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术后早期炎性肠梗阻的诊治(附68例临床分析) 被引量:1

Experiences in diagnosis and treatment of early postoperatire inflammatory ileus: a report of 68 cases
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摘要 目的 探讨术后早期炎性肠梗阻的临床特点和治疗方法。方法 分析 6 8例术后早期炎性肠梗阻的临床特点及治疗。结果  6 0例术后早期炎性肠梗阻发生于术后 1周内 ,保守治疗 6 4例 ,肠梗阻缓解时间 1- 6周 ,平均 12 .2d ,手术治疗 4例。结论 对术后早期炎性肠梗阻应先行 4 - 6周保守治疗 ,过期无缓解再行手术 。 Objective To investigate the diagnosis and treatment of early postoperative inflammatory ileus (EPII). Methods Clinical data of 68 cases with EPII were analyzed retrospectively. Results Intestinal obstruction occured within the first week after operation in 58cases. Remission was achieved in 64 patients within 1-6 weeks (mean 12.2 days) by conservative treatment. 4 cases were operated on. Conclusions 4-6 week conservative treatment is necessary for all patients with EPII before obstruction-relieving operation is considered. This protocol can avoid unnecessary operation and reduce postoperatiave complications.
出处 《消化外科》 CSCD 2002年第6期423-424,共2页 Journal of Digestive Surgery
关键词 早期炎性肠梗阻 临床分析 腹部手术 手术后 诊断 治疗 ileus early postoperative inflammatory ileus
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