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目的 探讨小儿粘连性肠梗阻保守治疗的可行性和与之相关临床因素。方法 回顾173例资料 ,借助计算机对 13个临床因素进行相关分析。结果 全组保守治疗成功率 6 7.7% ,肠坏死率 1.9%、死亡率 0 .9%。与保守治疗相关的临床因素有 :最近一次剖腹术年龄 (P<0 .0 0 5 ) ,剖腹术与肠梗阻发作之间隔 (P<0 .0 2 5 ) ,原发手术疾病 (P<0 .0 2 5 ) ,腹部手术次数 (P<0 .0 0 5 ) ,保守治疗时间 (P<0 .0 5 )。结论 除入院就疑为绞窄性肠梗阻而需急诊手术外 ,余均可保守治疗。保守治疗与上述 5个因素相关。
Objective To investigate the feasibility of conservative treatment of adhesive intestinal obstruction in children and related clinical factors. Methods A retrospective analysis of 173 cases of data, the use of computer-related analysis of 13 clinical factors. Results The conservative treatment success rate of 6 7.7%, intestinal necrosis rate of 1.9%, mortality rate of 0.9%. The clinical factors related to conservative treatment were as follows: the age of the most recent laparotomy (P <0.05), the interval between laparotomy and intestinal obstruction (P <0.05), the primary surgical disease (P <0 05) .025), the number of abdominal surgery (P <0.05), the conservative treatment time (P <0.05). Conclusion In addition to admission is suspected strangulated intestinal obstruction and emergency surgery, I can be conservative treatment. Conservative treatment and the above five factors.