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麻痹性肠梗阻是腹部手术后常见的并发症,一般采用胃肠减压、灌肠治疗,效果不甚理想,且增加病人痛苦。我科自1995年～1996年采用新斯的明治疗该病40例,取得满意疗效。 1 资料与方法 ①资料:40例中,年龄20岁～71岁。阑尾切除术后12例,胃大切术后3例,胃肠穿孔修补术后7例,胆道术后8例,肠粘连松解术后3例,肝叶切除术后,直肠癌Miles式术后2例、Dixon式术后1例。患者临床表现为腹胀痛,无肛门排气、排便。X线检查表现为大、小肠全部均匀的胀气,并有多数液平面。②方法:新斯的明0.25mg～1 mg,肌注,q4h,有肛门排气、排便停药,如肌注无效,改为双侧足三里穴位注射,每侧0.5mg。
Paralytic ileus is a common complication after abdominal surgery, the general use of gastrointestinal decompression, enema treatment, the effect is not satisfactory, and increase patient pain. Our department from 1995 to 1996, Neostigmine treatment of 40 cases of the disease, and achieved satisfactory results. 1 Materials and Methods ① data: 40 cases, aged 20 years old to 71 years old. 12 cases after appendectomy, 3 cases after gastrectomy, 7 cases after gastrointestinal perforation repair, 8 cases after biliary tract surgery, 3 cases after intestinal adhesion lysis, post-hepatectomy, 2 cases, Dixon-style postoperative one case. Clinical manifestations of patients with abdominal pain, no anal exhaust, defecation. X-ray examination showed large flat intestine, flatulence, and most of the liquid level. ② methods: neostigmine 0.25mg ~ 1mg, intramuscular injection, q4h, anal exhaust, defecation withdrawal, such as intramuscular injection was invalid, replaced by bilateral Zusanli acupoint injection, 0.5mg per side.