论文部分内容阅读
目的 探讨绞窄性肠梗阻的早期诊断 ,减少或避免肠坏死和穿孔的发生 ,降低死亡率的方法。方法 经胃肠减压管注入豆油 150ml,2～ 3次 d ,经肛管灌注 1 2 3液 (即 33%MgSO4 30ml、甘油 60ml、温生理盐水 90ml、180ml或 360ml。每 30min记录观察结果。如发现病人胃肠减压吸引的液体有异常 ,甚至生命体征有变化 ,腹胀、腹痛及呕吐加重 ,呕吐物及肛门排出物的性状、颜色、数量有异常时 ,视为肠绞窄 ,立即进行手术。反之如果自觉症状减轻 ,一般情况有改善 ,说明肠梗阻有缓解趋势 ,继续进行观察。连续灌注治疗 1～ 3d ,梗阻仍不能缓解 ,即视为有手术指征。结果 2 58例病人 ,经 1次灌注治疗确立手术者 143例 ,其中肠绞窄 76例 ;经 2～ 3次灌注确立手术者 4 7例 ;免除手术者 68例。无 1例延迟手术或耽误治疗 ,均获痊愈。结论 本法简易、安全、有效。为肠梗阻的正确治疗提供了可靠的依据 ,具有很好的实用价值
Objective To investigate the early diagnosis of strangulated intestinal obstruction, reduce or avoid the occurrence of intestinal necrosis and perforation and reduce mortality. Methods 150 ml of soybean oil was infused through the gastrointestinal decompression tube and doused once or twice a day by anal canal, ie, 30 ml of 33% MgSO4, 60 ml of glycerol, 90 ml of warm physiological saline, 180 ml or 360 ml. The observation results were recorded every 30 minutes. Found that patients with gastrointestinal decompression to attract liquid abnormalities, or even changes in vital signs, abdominal distension, abdominal pain and vomiting, vomitus and anal discharge traits, colors, the number of abnormalities, as intestinal strangulation, immediately Surgery .Conversely, if the symptoms subsided, the general situation has improved, indicating that intestinal obstruction has a tendency to ease, continue to observe continuous infusion therapy 1 ~ 3d, obstruction can not be alleviated, that is considered as surgical indications.Results2 58 patients, After one-time perfusion therapy, 143 patients were established, including 76 cases of intestinal strangulation; 47 cases of surgery were performed after 2 to 3 perfusion; 68 cases were excluded from surgery. None of the cases were delayed or delayed treatment and were cured. Conclusion This method is simple, safe and effective, which provides a reliable basis for the correct treatment of intestinal obstruction and has good practical value