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粘连性肠梗阻是由肠管互相粘连或肠管与腹膜粘连或腹腔内粘连带所致的肠腔内容物不能顺利通过肠道之急腹症。临床上纵然有先天性粘连与后天性粘连之分,但毕竟以腹腔内手术(尤其阑尾切除术、盆腔手术)、炎症、创伤、出血、异物所致者多见。 笔者在临床中,运用行气化淤法治之,疗效满意,现总结如下。 临床资料 本组30例。性别:男20例、女10例、年龄:10～20岁2例、21～40岁16例、41～80岁8例、61～80岁4例,职业:干部2例,工人16例,农民4例,其它8例。肠梗阻次数:一次者22例,二次者8例,四次者1例,六次者1例,腹腔手术次数:一次者8例,二次者4例,三次者1例,未曾手术者17例,因肠梗阻手术:一次者3例,二次者1例。
Adhesive intestinal obstruction by intestinal adhesions or bowel and peritoneal adhesions or abdominal adhesions caused by intestinal contents can not be successfully passed through the intestine of acute abdomen. Clinically, although there are congenital adhesions and acquired adhesions, but after all, intraperitoneal surgery (especially appendectomy, pelvic surgery), inflammation, trauma, bleeding, foreign body caused by more common. The author in clinical practice, the use of gas rule of governance, efficacy is satisfactory, are summarized as follows. Clinical data of 30 cases in this group. Gender: 20 males and 10 females, age: 2 cases of 10 to 20 years old, 16 cases of 21 to 40 years old, 8 cases of 41 to 80 years old, 4 cases of 61 to 80 years old, occupation: 2 cadres, 16 workers, 4 farmers, the other 8 cases. The number of intestinal obstruction: once in 22 cases, twice in 8 cases, four cases in 1 case, six cases in 1 case, the number of abdominal surgery: once in 8 cases, twice in 4 cases, three times in 1 case, no surgery 17 cases, due to intestinal obstruction surgery: once in 3 cases, twice in 1 case.