Farthmann E H, Lehberger F J
Langenbecks Arch Chir. 1978 Nov;347:379-85. doi: 10.1007/BF01579360.
Postoperative intestinal obstruction is the indication for one-third of early reoperations. Mortality increases with age and time interval. Operations on the lower intestinal tract are predominant among the primary procedures. The main causes of obstruction are adhesions involving the small intestine. Diagnosis requires differentiation from paralytic ileus and physiologic postoperative paralysis. The outcome depends on early recognition, immediate reoperation, and adequate surgical management.
术后肠梗阻是三分之一早期再次手术的指征。死亡率随年龄和时间间隔增加。初次手术中以下消化道手术为主。梗阻的主要原因是小肠粘连。诊断需要与麻痹性肠梗阻和术后生理性麻痹相鉴别。预后取决于早期识别、立即再次手术及充分的手术处理。
