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目的 探讨术后早期炎性肠梗阻的诊断和治疗.方法 回顾性分析2008年3月至2012年8月间收治的15例术后早期炎性肠梗阻的临床资料.结果 15例患者术后皆有肠功能一度恢复的表现,后大多数在两周内又出现梗阻症状,其中腹胀明显,腹痛相对较轻.14例患者经胃肠减压、抗炎、应用生长抑素等保守治疗治愈,平均治愈时间为18.5d,无1例肠坏死.1例保守治疗2周不见缓解,出现腹膜炎征象行剖腹探查,术中见小肠粘连导致血运障碍而行部分小肠切除术,术后2周治愈出院.结论 术后早期炎性肠梗阻有其特征性的临床表现,结合腹部X线及CT检查有助于其诊断,其中全腹CT检查对术后早期炎性肠梗阻的诊断具有重要的参考价值.治疗上应首先给予生长抑素为主的保守治疗,并严密观察,如出现肠坏死、腹膜炎征象时则应及时中转手术.“,”Objective To explore the diagnosis and treatment for the patients with early postoperative inflammatory small bowel obstruction (EPISBO).Methods The clinical data on 15 cases of EPISBO in our hospital from March 2008 to August 2012 were retrospectively analyzed.Results The intestinal function of all the 15 cases once recovered postoperatively, but the symptoms of bowel obstruction, such as obvious abdominal distention and mild abdominal pain, occurred mostly in two weeks. 14 cases had recovered after non-operative treatment including gastrointestinal decompression, administration of antibiotics and somatostatin, etc. The mean cure time was 18.5 days and none had intestinal necrosis. The other 1 case was not cured after the conservative treatment for 2 weeks. The laparotomy operation was performed due to peritonitis, and partial small bowel resection was given for blood supply obstacles and adhesion. This patient was cured after 2 weeks. Conclusion Early postoperative inflammatory small bowel obstruction has characteristic of clinical manifestations. The combination of clinical manifestations and abdominal X-ray and CT examinations contribute to the diagnosis of EPISBO, particularly for whole abdominal CT scan. Conservative treatments including somatostatin should be the first choice. Surgical intervention is imperative once intestinal necrosis or peritonitis happens.