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目的探讨小儿腹部手术后早期肠梗阻的临床特点、诊断和治疗。方法回顾分析了18例小儿腹部手术后早期肠梗阻病例的临床表现及治疗情况。结果18例中14例经禁食、抗感染、胃肠减压、全胃肠外营养等保守治疗痊愈,缓解时间平均11d。4例再次手术,均为肠袢团块状粘连。结论小儿腹部手术后早期肠梗阻以炎性肠梗阻多见,可通过非手术治疗缓解,对不可逆肠梗阻,应及早手术,再次手术方法宜简单,以解决梗阻为目的。
Objective To investigate the clinical features, diagnosis and treatment of early intestinal obstruction after pediatric abdominal surgery. Methods The clinical manifestations and treatment of early intestinal obstruction after pediatric abdominal surgery in 18 cases were retrospectively analyzed. Results Of the 18 cases, 14 cases were cured by conservative treatment such as fasting, anti-infective, gastrointestinal decompression and total parenteral nutrition. The average time to remission was 11 days. 4 cases of reoperation, are intestinal adhesions massive adhesions. Conclusions The early postoperative intestinal obstruction in children with inflammatory intestinal obstruction more common, non-surgical treatment can be alleviated, the treatment of irreversible bowel obstruction should be as early as possible, reoperation should be simple, to solve the obstruction for the purpose.