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目的探讨成年危重患者继发性急性假性结肠梗阻(ACPO)的诊断与治疗要点,旨在提高早期ACPO的诊治水平。方法采用回顾性分析法对该院重症医学科55例危重症患者的临床资料进行回顾性总结,分析其诊断与治疗要点。结果危重症继发急性假性结肠梗阻55例患者经早期诊断与综合治疗病情均有所缓解,但危重症患者的救治成功与该病关系不大。结论继发性急性假性结肠梗阻是一种一过性可逆性疾病,在危重症患者病程中是比较常见,只要早期采取正确的诊断和治疗,患者大部分均能好转。
Objective To investigate the diagnosis and treatment of secondary acute pseudobiliary obstruction (ACPO) in critically ill adult patients with the purpose of improving the diagnosis and treatment of early ACPO. Methods Retrospective analysis was used to retrospectively summarize the clinical data of 55 critically ill patients in the intensive care department of the hospital and analyze the main points of diagnosis and treatment. Results Seventy-five cases of acute pseudo-colonic obstruction with acute critical colitis were relieved by early diagnosis and comprehensive treatment. However, the successful treatment of critically ill patients has little to do with the disease. Conclusions Secondary acute pseudo-colonic obstruction is a transient reversible disease, which is more common in the course of critical illness. As long as proper diagnosis and treatment are taken in the early stage, most of the patients can be improved.