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术后早期炎性肠梗阻的诊断与治疗 被引量:36

<title>Diagnosis and treatment of early postoperative inflammatory small bowel obstruction
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摘要 目的 探讨术后早期炎性肠梗阻的特点和诊断、治疗原则。方法 分析近年治疗的术后早期炎性肠梗阻68例的临床资料。结果 23例行手术治疗者,术后发生肠瘘16例(69.6%),死亡4例(17.4%)。45例经非手术疗法治愈,平均治愈时间13.6d,无1例再手术。结论 术后早期炎性肠梗阻多发生在术后1~2周,可表现为典型的肠梗阻体征,治疗应首先采取保守疗法。 <Abstrcat>ObjectiveTo determine the principles of diagnosis and treatment of early postoperative inflammatory small bowel obstruction(EPISBO).MethodsClinical data of 68 cases of EPISBO were analysed. Results Of the 68 cases,23 were treated by operation,intestinal fistula occurred in 16 cases,and 4 died.45 cases were all cured in a mean period of 13.6 days by nonoperative therapy. Conclusions EPISBO mainly occurs in about 1-2weeks postoperatively. EPISBO has typical signs and symptoms of bowel obstruction.For EPISBO,conservative treatment should be adopted first.
作者 王斌 李宏艳
出处 《中国普通外科杂志》 CAS CSCD 2002年第8期479-480,共2页 China Journal of General Surgery
基金 .NULL.
关键词 肠梗阻 诊断 治疗 手术后 并发症 INTESTINAL OBSTRUCTION/diag INTESTINAL OBSTRUCTION/ther POSTOPERATIVE COMPLICATIONS
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