探讨老年机械性肠梗阻术后早期炎性肠梗阻的临床研究

摘要

目的：对老年机械性肠梗阻术后早期炎性肠梗阻的临床诊治进行探讨分析。方法根据2006年3月-2012年5月我院的23例机械性肠梗阻术后早期炎性肠梗阻老年患者来进行分析，为患者提供保守治疗，观察临床保守治疗的效果。结果老年机械性肠梗阻患者术后早期炎症的发生主要是术后9～32 d，患者除了肠梗阻症状，还有自身特点存在，研究中有20例患者使用非手术方式治愈，有3例病例死亡。结论机械性肠梗阻患者术后早期炎性肠梗阻老年患者选择非手术方式比较合理，手术的风险性大，如果症状无法改善，则考虑是否进行手术治疗。%Objective To investigate the clinical diagnosis and treatment of early postoperative inlfammatory small bowel obstruction in elderly patients with mechanical intestinal obstruction.Methods23 cases of patients with early postoperative inlfammatory small bowel obstruction in our hospital were analyzed from March 2006 to May 2012, to provide conservative treatment for patients and observe the effect of conservative treatment. Results The elderly patients with mechanical intestinal obstruction early postoperative inlfammation from 9 to 32 days after surgery, in patients with intestinal obstruction symptoms, there are characteristics of 20 cases of patients with non operation cure, 3 cases of death.Conclusion The surgical treatment of early postoperative inflammatory intestinal obstruction in elderly patients with non operative method is more reasonable, the risk of surgery is large, if the symptoms can not be improved, consider whether the surgical treatment.