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首页> 外文期刊>Indian medical journal >Post Appendectomy Adhesive Small Intestinal Obstruction, is Conservative Treatment of Value
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Post Appendectomy Adhesive Small Intestinal Obstruction, is Conservative Treatment of Value

机译：发布阑尾切除术粘合剂小肠梗阻，是保守治疗价值

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Aim : This study was a trial to predict which has to be done, to give a chance for conservative treatment or to operate immediately in patients presented with post-appendectomy adhesive intestinal obstruction. Methods : This is a hospital based retrospective study. The files of patients admitted to the Department of Surgery, S.K.M.C.H. Muzaffarpur, Bihar, for adhesive intestinal obstruction were retrieved and studied. Results : Fifty seven patients with post-appendectomy adhesive small intestinal obstruction were admitted in that period. Forty nine (86%) patients were operated upon; forty one of them (83.7%) had complete obstruction with single band adhesion, twenty seven (55%) patients had complicated obstruction needed intestinal resection, the other 22 (45%) patients had simple adhesiolysis. Eight (14%) patients improved with conservative treatment. No mortalities were encountered but 20 (74%) patients of those who had intestinal resection developed significant postoperative wound infection. Conclusion : post-appendectomy adhesive small intestinal obstruction is a serious, unpredictable complication. It is usually complete obstruction caused by tight single band adhesion with unexpected spontaneous resolution. Early operative intervention is recommended strongly with post-appendectomy adhesive intestinal obstruction. Clinical assessment is of weak value in differentiating between simple and complicated obstruction.
机译：目的：这项研究是预测必须进行的审判，以赋予保守治疗的机会或在患有后阑尾切除术后粘合性肠梗阻的患者中立即运作。方法：这是一项基于医院的回顾性研究。患者的文件录取了外科，S.K.M.c.H.检测和研究穆斯帕尔，比哈拉州的粘性肠梗阻。结果：该期间，五十七名患有后阑尾粘合剂小肠梗死的患者。 409名（86％）患者进行了运作;其中四十个（83.7％）对单带粘连的完全阻塞，二十七（55％）患者具有复杂的肠道切除术，其他22例（45％）患者的侧面含有简单。八（14％）患者通过保守治疗而改善。没有死亡率，但20（74％）肠道切除患者的患者显着术后伤口感染。结论：阑尾后粘合剂小肠梗阻是严重，不可预测的并发症。它通常是完全梗阻，由牢固的单带粘附引起意外的自发分辨率。早期手术干预建议强烈，阑尾后切除术后粘合剂肠梗阻。临床评估具有较弱的价值，差异化简单和复杂的障碍。

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