Stewart R M, Page C P, Brender J, Schwesinger W, Eisenhut D
Department of Surgery, University of Texas Health Science Center, San Antonio 78284-7842.
Am J Surg. 1987 Dec;154(6):643-7. doi: 10.1016/0002-9610(87)90234-0.
Early postoperative small bowel obstruction is a rare (0.69 percent incidence) but serious postoperative complication with a relatively high mortality rate (17.8 percent). Operations performed below the transverse mesocolon impose an increased risk, whereas those limited to the upper abdomen are virtually free of risk. The clinical picture of a patient who initially manifests a return of gut function and advances to a diet, but then has loss of bowel function with distention and pain is most characteristic of early postoperative small bowel obstruction. Any patient in the high-risk group demonstrating this clinical picture should be presumed to have a mechanical small bowel obstruction, and early operation should be considered.
术后早期小肠梗阻是一种罕见的（发病率为0.69%）但严重的术后并发症，死亡率相对较高（17.8%）。在横结肠系膜以下进行的手术会增加风险，而仅限于上腹部的手术实际上没有风险。最初肠道功能恢复并开始进食，但随后出现肠道功能丧失、腹胀和疼痛的患者的临床表现是术后早期小肠梗阻最典型的特征。任何处于高危组且出现这种临床表现的患者都应被推定患有机械性小肠梗阻，应考虑早期手术。
