粘连性肠梗阻55例临床分析

摘要

目的：提高粘连性肠梗阻的治疗效果。方法：回顾性分析我院收治的粘连性肠梗阻55例，男31例，女24例，年龄12—76岁，平均46.9岁。单纯性粘连性肠梗阻30例，绞窄性肠梗阻25例。经中西医结合治疗及手术治疗。结果：全部病例治愈出院。结论：治疗粘连性肠梗阻重要的是区别单纯性还是绞窄性，对单纯性肠梗阻，首先应考虑非手术治疗，但必须严密观察，并结合X线或B超动态观察，对治疗12—24h无好转或疑有绞窄者及早手术，这样可避免过分依赖非手术治疗而使病情恶化造成不良后果。对绞窄性肠梗阻阳应快速术前准备，尽早进行手术，争取在肠坏死之前解除梗阻，从而降低死亡率。%Objective：To improve the cure rate of adhesive obstruction of intestine．Method：Reviewed 55 cases which treated in our hospital． Male 31，female 24，aged 12～76，mean age is 46.9 simple adhesive obstruction of intestine 30 cases stenosing obstruction 25 cases． All above were trented with Chinese and Western operation．Result：All were cured． Conclusion Its important to clarify the simple from stenosing obstrution of intestine to the simple ones，trated with none operation throngh X-ray and B ultrosownd while to the stenosing ones，the earlier operation the better.