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目的 探讨术后早期炎性肠梗阻的特点及治疗原则。方法 回顾性分析近期经治的术后早期炎性肠梗阻 9例。结果 1例患者经手术治疗，分离粘连时引起多发性肠破裂、肠瘘，后经保守治疗治愈； 8例患者均经胃肠减压、抗炎、应用生长抑素等保守治疗治愈，平均治愈时间为 21. 5 d，无 1例肠坏死。结论 术后早期炎性肠梗阻的特点： (1)发生于腹部手术后早期，虽有机械性因素，但大多都是腹腔内炎症所致广泛粘连引起； (2)症状以腹胀为主，腹痛相对轻，部分患者有少量肛门排气排便，体征虽典型，但较少发生绞窄； (3)保守治疗大都有效，治疗上最好先予以生长抑素为主的保守治疗，应严密观察，如出现肠坏死、腹膜炎征象时则再及时中转手术。
Objective To investigate the characteristics and treatment principles of early postoperative inflammatory intestinal obstruction. Methods A retrospective analysis of 9 cases of early postoperative inflammatory intestinal obstruction. Results One patient underwent surgical treatment, which caused multiple intestine rupture and intestinal fistula after adhesion separation and was cured by conservative treatment. All 8 patients were cured by conservative treatment of gastrointestinal decompression, anti-inflammatory, and somatostatin, and were cured on average Time is 21.5 d, no case of intestinal necrosis. Conclusions Early postoperative inflammatory intestinal obstruction characteristics: (1) occurred in the early postoperative abdominal surgery, although mechanical factors, but mostly due to intraperitoneal inflammation caused by a wide range of adhesions; (2) the symptoms of abdominal distension, abdominal pain Relatively light, some patients have a small amount of anal exhaust defecation, although the typical signs, but less strangulation occurred; (3) most of the conservative treatment is effective, the best treatment should be given somatostatin-based conservative treatment should be closely observed, In case of intestinal necrosis, signs of peritonitis and then promptly transit surgery.