CAJ | 학술논문

回顾性分析我院69例腹部手术后早期炎性肠梗阻(EPII)患者的临床资料.EPII多发生在术后3～11 d,平均5 d;62例患者经胃肠减压、应用生长抑素及肾上腺皮质激素,肠外营养等综合治疗治愈,平均治疗时间(22±13)d,7例患者手术治愈.提示EPII是一种特殊类型的早期肠梗阻,常于术后2周内发生,症状以腹胀为主,保守治疗多数有效,一般禁忌再手术治疗.
회고성분석아원69례복부수술후조기염성장경조(EPII)환자적림상자료.EPII다발생재술후3～11 d,평균5 d;62례환자경위장감압、응용생장억소급신상선피질격소,장외영양등종합치료치유,평균치료시간(22±13)d,7례환자수술치유.제시EPII시일충특수류형적조기장경조,상우술후2주내발생,증상이복창위주,보수치료다수유효,일반금기재수술치료.
To investigate the clinical features and principles of diagnosis and treatment of early postoperative inflammatory ileus (EPII). The clinical data of 69 patients with EPII treated in this hospital were retrospectively reviewed. EPII mostly occurred in 3-11d after abdominal surgery, and the average time was 5d. Sixty two cases were cured in a mean period of (22±13)d through combination therapy including gastroenteral decompression, somatostatin, dexamethasone and total parenteral nutrition (TPN). Seven cases were cured by operation. EPII is a special type of early intestinal obstruction which often occurs in two weeks after abdominal operation. Its typical symptoms are abdominal distension; conservative therapy is effective for most cases and reoperation is usually contradicted.