小儿急性肠梗阻病势凶险,死亡率很高,危重患儿需要外科手术治疗。近28年来,笔者以自拟活下汤为主,必要时配用西药治疗小儿急性肠梗阻27例,收效满意,现报告如下。1 临床资料本组27例,男18例、女9例;年龄1.5～12岁,平均7.5岁;病程2～72小时,24小时以内21例,48小时以内4例,72小时以内2例。临床表现为腹痛,呕吐,腹胀及停止排便和肛门排气,脉多弦数,舌质红苔黄。全部病例因腹痛初诊。伴发热者 Pediatric acute intestinal obstruction is dangerous and has a high mortality rate. Children with critical illnesses need surgical treatment. Nearly 28 years, the author to live to give priority to soup, if necessary, with Western medicine in children with acute intestinal obstruction in 27 cases, with satisfactory results, are as follows. 1 Clinical data The group of 27 patients, 18 males and 9 females; aged 1.5 to 12 years, mean 7.5 years; duration of 2 to 72 hours, 21 cases within 24 hours, 4 cases within 48 hours, 2 cases within 72 hours. Clinical manifestations of abdominal pain, vomiting, abdominal distension and stop the defecation and anal exhaust, pulse multi-chord number, tongue red moss yellow. All cases of newly diagnosed abdominal pain. With fever