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目的:探讨腹部手术后炎性肠梗阻的临床表现,提高肠梗阻病人腹部手术后各种并发炎症的护理服务质量。方法:回顾2012年7月到2012年9月我科室收治11例腹部手术后炎性肠梗阻病人,通过严密观察腹部手术后病人的排气、排便、腹痛、腹胀、肠鸣音等情况,和采用胃肠减压、抗炎、维持水电解质平衡等治疗方法,观察11例患者症状改善、平均住院时间。结果:11例腹部手术后炎性肠梗阻病人无一例出现肠穿孔、肠瘘。结论:严密观察病人排气、排便、腹胀、腹痛情况是炎性肠梗阻最早采取的护理措施,也是预防炎性肠梗阻的关键,观察病人的肛门排便、排气、腹痛、腹胀、肠鸣音等情况,加强各项护理,炎性肠梗阻病人是完全可以采取保守治疗避免病人再次手术造成不良后果。
Objective: To investigate the clinical manifestations of inflammatory intestinal obstruction after abdominal surgery and to improve the quality of nursing services of various complicated inflammatory diseases after abdominal surgery in patients with intestinal obstruction. Methods: From July 2012 to September 2012, 11 cases of inflammatory bowel obstruction after abdominal surgery were treated in our department. Through careful observation of patients’ discharge, defecation, abdominal pain, bloating and bowel sounds after abdominal operation, and Adopting gastrointestinal decompression, anti-inflammatory, maintaining water-electrolyte balance and other treatment methods, 11 patients were observed for symptom improvement and average length of stay. Results: No cases of intestinal perforation and intestinal fistula occurred in 11 patients with inflammatory intestinal obstruction after abdominal surgery. Conclusions: It is the earliest nursing measure to prevent inflammatory bowel obstruction by closely observing the patient’s excretion, defecation, abdominal distension and abdominal pain. It is also the key to prevent inflammatory bowel obstruction. The patients’ anal defecation, excretion, abdominal pain, bloating and bowel sounds And so on, to strengthen the nursing, patients with inflammatory intestinal obstruction can take conservative treatment to avoid the patient re-operation resulting in adverse consequences.