Laws H L
Am Surg. 1978 Jun;44(6):313-7.
Preventable deaths from small bowel obstruction result from misdiagnosis, inappropriate delay in operation, inadequate preoperative preparation, and a poorly performed operative procedure. A systematic approach to each of the factors includes repeat physical examination, x-rays and CBC four hours after initial study in questionable cases, a pre-planned therapeutic interventions timetable, adequate intravascular volume and electrolyte levels, and a carefully designed operation which includes as little bowel manipulation and entrance as possible.
小肠梗阻导致的可预防死亡是由误诊、手术延误不当、术前准备不足以及手术操作不佳所致。针对每个因素采取的系统方法包括在可疑病例初次检查4小时后进行重复体格检查、X光检查和血常规检查，制定预先计划好的治疗干预时间表，维持充足的血管内容量和电解质水平，以及精心设计手术，尽量减少对肠管的操作和进入次数。
