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术后早期炎性肠梗阻临床诊治体会

Experience in Diagnosis and Treatment of Early Postoperative Inflammatory Ileus
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摘要 目的 :探讨术后早期炎性肠梗阻的临床特点及处理方法。方法 :分析 5 3例术后早期炎性肠梗阻的临床特点及治疗效果。结果 :5 3例术后早期炎性肠梗阻均发生在术后 1周左右 ,保守治疗 4 7例 ,梗阻缓解时间3d~ 4 2d ,平均 12 7d ;手术治疗 6例。结论 :术后早期炎性肠梗阻多发生在术后 5d~ 7d ,可表现为典型的肠梗阻体征 ,多由小肠无菌性炎症致广泛肠粘连引起 。 Objective:To investigate clinical features and treatment of early postoperative inflammatory ileus(EPII).Methods: 53 patients with EPII were analyzed retrospectively.Results: Intestinal obstruction occurred within the first week after operation in all the 53 cases,47 patients received conservative treatment and achieved remission 3 to 42 days (mean 12.7 days) ,6 had surgery.Conclusion: EPII mostly occurs in about 5 to 7 days after operation,presenting as typical ileus sign.Most cases were caused by extensive adhesion resulted from aseptic inflammations.Conservative treatment should be the first choice for most EPII patients.
出处 《山西职工医学院学报》 CAS 2003年第1期5-6,共2页 Journal of Shanxi Medical College for Continuing Education
关键词 术后 早期 炎性肠梗阻 诊断 治疗 inflammatory ileus operation conservative treatment
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