乌司他丁联合泛影葡胺在粘连性肠梗阻治疗中的应用
【摘要】 目的 探讨乌司他丁联合泛影葡胺在治疗腹部手术后粘连性肠梗阻中的疗效。方法 回顾分析2007年6月至2010年6月期间我科收治的35例粘连性肠梗阻的诊治经过。结果 35例患者均采用保守治疗,给予禁饮食、胃肠减压、补液抗感染、肠外营养(TPN),同时联合应用乌司他丁及泛影葡胺等,症状于住院后5~22 d(平均6.8 d)消失,均未行手术,痊愈出院。结论 采用以乌司他丁联合泛影葡胺为主的非手术治疗粘连性肠梗阻效果令人满意,可避免再次手术。【关键词】 乌司他丁;泛影葡胺;粘连性肠梗阻
【Abstract】 Objective To explore the effect of ulinastain in combination with gastrografin on adhesive ileus after treatment of abdominal surgery. Methods To analyze retrospectively the diagnosis and treatment of the admitted 35 cases with adhesion ileus from June 2007 to June 2010.Results 35 patients were offered conservative treatment, together with the ban diet, Gastrointestinal reduced pressure, rehydration anti-infection, TPN. At the same time, there was a combined application of the ulinastain and gastrografin. As a result, symptoms disappeared in 5 ~ 22 days after admission (an average of 6.8 days), no surgery undergone. All the patients were released with complete recovery. Conclusion The non-operative treatment of combined ulinastain and gastrografin for Adhesive Ileus can avoid patients reoperation, thus is satisfactory. ......
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