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目的:探讨小儿粘连性肠梗阻治疗中手术时机的选择。方法:回顾性分析1998年1月~2008年8月收治的160例小儿粘连性肠梗阻病例,讨论其治疗及合适手术时机。结果:保守治疗小儿粘连性肠梗阻103例,手术治疗57例,急症手术36例,其中肠切除10例(27.8%),平均住院12天;保守治疗无效中转手术治疗21例,其中肠切除10例(47.6%),平均住院15天。结论:小儿粘连性肠梗阻保守治疗无效时应及时手术治疗。
Objective: To explore the timing of operation in the treatment of adhesive intestinal obstruction in children. Methods: A retrospective analysis of 160 cases of pediatric adhesive intestinal obstruction admitted to our hospital from January 1998 to August 2008 was conducted to discuss the treatment and the appropriate timing of the operation. Results: Conservative treatment of 103 cases of adhesive intestinal obstruction in children, 57 cases of surgical treatment, 36 cases of acute surgery, including intestinal resection in 10 cases (27.8%), the average hospital stay of 12 days; conservative treatment ineffective transit surgery in 21 cases, including intestinal resection 10 Cases (47.6%), the average hospital 15 days. Conclusion: The conservative treatment of adhesive intestinal obstruction in children should be timely surgical treatment.