【摘要】 目的 :探讨术后早期炎性肠梗阻的特点 ,诊断及治疗原则。方法 :对 1988年 5月～ 2 0 0 4年 5月间收治的 3 0例术后早期炎性肠梗阻进行回顾性分析。结果 :手术治疗 9例 ,术后症状完全缓解 3例 ,术后并发肠瘘 4例、短肠综合症 2例 ,死亡 3例 ,保守治疗 2 1例 ,除 1例转院外 ,均完全缓解 ,平均治疗时间2 0 .5d。结论 :术后早期炎性肠梗阻与腹腔内感染、手术创伤、炎性渗出、粘连有关。其特点为 :①多发生在术后 2周内 ,肠蠕动曾一度恢复 ;②腹胀为主 ,腹痛较轻 ;③因肠袢相互粘着 ,极少发生绞窄 ;④保守治疗大多有效。术后早期炎性肠梗阻首选保守治疗 ,慎行手术治疗更多还原

【Abstract】 Objective:To investigate the rpinciples of diagnosis and treatment of early postoperative inflammatory small bowel obstruction (CPISBO).Methods:Retrospective study of 30 cases of PISBO from 1988.5～2004.5.Results:9 cases received operation of 3 cases were cured, of 2 cases had short bowel syndrome, of 4 had intestinal fistula and of 3 cases were died. 20 cases were all cured in the mean period of 20.5 days through nonsurgical treatment.Conclusion: PISBO related to intra-abdominal inffection, surgical injury and extensive inflammations in abdomen. The clinical features are as follows (1) Occurring in two weeks postoperatively, the small bowel peristalsis had resumed.(2) Abdminal distension more prominent than abdominal pain. (3) With extensive inflammations in abdomen but rare intestinal is chemia. (4) Most patients were cured through nonsurgical treatment conservative treatment should be the first choice for PISBO.更多还原