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术后早期炎性肠梗阻是术后早期肠梗阻的一种特殊类型,大多数患者于术后1～2周内发病,由于腹腔内炎症及腹部手术创伤等原因引起肠壁水肿和渗出、肠麻痹、肠蠕动减弱,从而出现肠梗阻,机械性和动力性梗阻因素均存在,临床上正确区分炎性肠梗阻与粘连性肠梗阻是比较棘手的问题,现实中两者常常并存,笔者对1例阑尾炎术后并发早期炎性肠梗阻患者的资料进行总结,报道如下。
Early postoperative inflammatory intestinal obstruction is a special type of early postoperative intestinal obstruction, the majority of patients within 1 to 2 weeks after onset, due to intra-abdominal inflammation and abdominal trauma and other causes of intestinal wall edema and exudation, Intestinal paralysis, bowel movements weakened, resulting in intestinal obstruction, mechanical and dynamic obstruction of both exist, the clinical diagnosis of inflammatory bowel obstruction and adhesive intestinal obstruction is more difficult problem, in reality, the two often coexist, the author of A case of postoperative appendicitis complicated with early inflammatory intestinal obstruction data were summarized as follows.