Peetz D J, Gamelli R L, Pilcher D B
Arch Surg. 1982 Mar;117(3):334-6. doi: 10.1001/archsurg.1982.01380270052011.
A review of 100 consecutive patients admitted with simple, mechanical small-bowel obstruction secondary to adhesions and treated for at least 24 hours with nonoperative intestinal intubation showed that of 76 patients admitted with partial small-bowel obstruction, 49 (65%) were successfully treated without operation. Of those with complete small-bowel obstruction (CSBO), 18 of 24 (75%) subsequently required surgical intervention; however, six of 24 (25%) were safely treated by nonoperative intubation. The 24-hour delay in surgery for CSBO did not increase morbidity or mortality in the 18 requiring operations. Major indications for surgical intervention were suspected strangulated obstruction or persistent obstruction, which frequently was associated with unsuccessful tube passage. Administration of antibiotics preoperatively was associated with a significant reduction in wound infections in patients requiring resection or enterotomy.
对100例因粘连导致单纯性机械性小肠梗阻入院且接受非手术肠道插管治疗至少24小时的连续患者进行回顾性研究，结果显示，76例因部分性小肠梗阻入院的患者中，49例（65%）经非手术治疗成功。在那些完全性小肠梗阻（CSBO）患者中，24例中有18例（75%）随后需要手术干预；然而，24例中有6例（25%）通过非手术插管得到安全治疗。CSBO患者手术延迟24小时并未增加18例需要手术患者的发病率或死亡率。手术干预的主要指征是怀疑绞窄性梗阻或持续性梗阻，持续性梗阻常与插管不成功有关。术前使用抗生素与需要切除或肠切开术患者的伤口感染显著减少有关。
