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肠麻痹的临床表现主要为麻痹性肠梗阻,其病变常累及全部肠管,特点是肠壁肌肉功能紊乱,无张力,正常肠蠕动丧失或减弱,无法将肠内容物推进运行,以致体液、电解质积聚于肠腔内,肠道吸收障碍,但无器质性肠腔狭窄,偶可伴发肺不张和肠穿孔。本病虽较少见,处理却颇困难,有的预后很差。我院近5年收治15例(感染性11、手术后1、药源性3),就有5例死亡,涉及内、外、妇产和传染病科,如死亡中3例即为血液病伴感染(3/3),2例为农药中毒(2/3)所致。因此,全面了解本病病因、发病机理,有利于及时诊断和治疗。
The main clinical manifestations of intestinal paralysis of paralytic ileus, the lesions often affect the entire intestine, characterized by intestinal muscle dysfunction, no tension, loss of normal bowel movements or weakened, unable to promote the operation of intestinal contents, resulting in fluid, electrolyte accumulation In the intestine, intestinal absorption disorders, but no organic intestinal stenosis, even associated with atelectasis and intestinal perforation. Although the disease is rare, treatment is quite difficult, and some poor prognosis. In our hospital for the past 5 years, 15 cases were admitted (infectious 11, postoperative 1, drug-induced 3), there are 5 deaths involving internal and external, obstetrics and infectious diseases, such as death in 3 cases that is blood disease With infection (3/3), 2 cases of pesticide poisoning (2/3) due. Therefore, a comprehensive understanding of the etiology, pathogenesis, is conducive to timely diagnosis and treatment.