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术后早期肠动力功能障碍27例临床分析

Management of early postoperative bowel motility dysfunction

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【作者】 史有龙陶东升

【Author】 SHI You-long,TAO Dong-sheng(Chizhou Second People’s Hospital,Anhui Province Chizhou 247000,China) from specialist:It is creative,and of certain scientific and educational value.

【机构】 安徽省池州市第二人民医院

【摘要】 目的:探讨早期肠动力功能障碍的临床特点及诊断和治疗方法。方法:回顾性分析27例术后早期肠动力功能障碍患者的临床资料,27例均采取保守治疗,主要措施为禁食、胃肠减压、肠外营养支持治疗,配合应用胃肠动力药物、中药、激素。结果:全部病例经保守治疗痊愈,症状缓解时间3~20d,平均7d。结论:CT检查对早期炎性肠梗阻的诊断具有重要价值;术后早期肠功能障碍以保守治疗为主,应重视胃肠外营养和综合治疗措施的应用。

【Abstract】 Objective:To investigate the clinical features,diagnosis and treatment of early postoperative bowel motility dysfunction. Methods:Clinical data of 27 patients with early postoperative bowel motility dysfunction were reviewed retrospectively. All patients underwent conservative treatment,mainly including fasting,gastrointestinal decompression,parenteral nutrition support,drug medication of gastrointestinal motility,traditional Chinese medicine and hormones. Results:All patients were cured by conservative treatment,time of symptom alleviation was 3 ~ 20 d,average 7 d. Conclusion:CT examination has important value for early diagnosis of inflammatory bowel obstruction. Conservative treatment is the main management of early postoperative intestinal dysfunction,and parenteral nutrition and comprehensive treatment are useful.

【基金】 海南医学院科研基金资助学报项目(0020090097)~~
  • 【文献出处】 海南医学院学报 ,Journal of Hainan Medical College , 编辑部邮箱 ,2009年08期
  • 【分类号】R656.7
  • 【下载频次】40
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