关键词: 肠梗阻, 营养支持

Abstract:

Objective:To investigate the principles of diagnosis and treatment of postoperative intestinal obstruction. Methods:The clinical data of 137 cases of postoperative intestinal obstruction treated from January 2001 to October 2004 were analyzed retrospectively. Results:All the 137 cases were cured without severe complications such as intestinal fistula and no death.The early postoperative inflammatory intestinal obstruction was occurred in 2 cases.Recurrent intestinal obstruction was occurred in 2 cases in 3-8 months after operation and all of them were cured by nonoperative approach. Conclusions:Intestinal obstruction can be caused by operation in abdomen.The diagnosis depends on the medical history,clinical manifestations, abdominal plain Xray and computed tomography.Therapeutic procedure and operative opportunity play an important role in the treatment of postoperative intestinal obstruction.Nonoperative approach should be the first choice for early postoperative inflammatory intestinal obstruction.Prompt surgery is clearly indicated and valuable for acute or being strangulative obstruction.Active operative treatment should be considered in recurrent chronic intestinal obstruction.

Key words: Intestinal obstruction, Nutritional support