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目的:探讨自拟方治疗贲门癌术后肠粘连的临床疗效。方法:选择2002~2006年1月贲门癌术后发生肠粘连的患者17例。常规给予禁食、持续胃肠减压、补充水电解质、维持酸碱平衡等一般治疗的基础上,采用自拟方(大黄、厚朴、枳实、炒莱菔子、芒硝、桃仁、赤芍、白术、大腹皮、甘草)口服或由胃管注入。结果:有效15例,其中治疗时间小于24h者8例,24~48h者3例,48h以上者4例。第1次排便时间平均为(15.6±4.9)h。中转手术者2例。结论:自拟方治疗术后肠粘连是一种安全有效的方法。
Objective: To investigate the curative effect of self-designed prescription for the treatment of postoperative intestinal adhesion of cardia cancer. Methods: From January 2002 to January 2006, 17 patients with intestinal adhesions were treated with cardia cancer. (Rhubarb, Magnolia biloba, citrus aurantium, fried Radish seeds, Glauber’s salt, peach kernel, red peony root, red peony root, red peony root, Atractylodes, the abdomen skin, licorice) orally or by the gastric tube. Results: Effective in 15 cases, of which treatment time was less than 24h in 8 cases, 24 ~ 48h in 3 cases, more than 48h in 4 cases. The first defecation time averaged (15.6 ± 4.9) h. Intermittent surgery in 2 cases. Conclusion: It is a safe and effective method to treat postoperative intestinal adhesion by self-made prescription.