1例小肠切除术后炎性肠梗阻合并肠系膜上动脉综合征病案分析
Postoperative inflammatory intestinal obstruction combined with superior mesenteric artery syndrome after small bowel resection:a case report
刘铸 1李馨 2汪刘华 1任俊 1乔唐1
作者信息
- 1. 扬州大学附属苏北人民医院,胃肠外科,江苏扬州,225001
- 2. 扬州大学附属苏北人民医院,药学部,江苏扬州,225001
- 折叠
摘要
术后早期炎性小肠梗阻是腹部手术后的并发症之一,大多数梗阻在营养支持后会自行缓解.但肠道功能恢复需要较长时间,治疗费用高且易发生相关并发症.术后早期炎性小肠梗阻也是继发粘连性肠梗阻的危险因素之一,少数患者保守治疗无效,不得不接受高风险的手术治疗.术后早期炎性小肠梗阻继发肠系膜上动脉综合征的病例相对少见,通过针灸、激素、水溶性造影剂等综合治疗,争取及早放置肠内营养管,是该类患者治疗的关键.
Abstract
Early postoperative inflammatory small bowel obstruction is one of the complications after abdominal surgery.Most obstructions will resolve on their own after nutritional support.Howev-er,the recovery of intestinal function takes a long time,which leads to high costs and is prone to oc-cur related complications.Early postoperative inflammatory small bowel obstruction is also one of the risk factors for secondary adhesive intestinal obstruction.A few patients with ineffective conservative treatment have to undergo high-risk surgical treatment.Cases of early postoperative inflammatory small bowel obstruction complicated by superior mesenteric artery syndrome are relatively rare.Com-prehensive treatment including acupuncture,hormones,and water-soluble contrast agents as well as early placement of enteral nutrition tubes is the key to the treatment of such patients.
关键词
术后早期炎性小肠梗阻/肠系膜上动脉综合征/水溶性造影剂/针灸/小肠间质瘤/糖皮质激素Key words
early postoperative inflammatory small bowel obstruction after surgery/superior mesenteric artery syndrome/water-soluble contrast agent/acupuncture/small intestinal stromal tumor/glucocorticoid引用本文复制引用
基金项目
江苏省扬州市重点研发项目(社会发展)(YZ2023086)
出版年
2024
国家科技期刊平台
NSTL
万方数据