Richter H
Langenbecks Arch Chir. 1978 Nov;347:393-5. doi: 10.1007/BF01579362.
The goal of treating postoperative ileus must be decompression of the intestine in order to prevent further development of the disease. Two different methods are available: (1) closed decompression (a) by stripping the intestine orally or aborally, or (b) through an intraluminal intestinal tube, and (2) open decompression through enterotomy. Because stripping of the intestine leads to traumatization of the intestinal wall, suction through an intraluminal intestinal tube can be considered preservative. Preoperatively, the tube is inserted through the nose into the stomach and from there is directed through the pylorus and the duodenum into the upper jejunum. Decompression of the intestine with a long intestinal tube also permits prophylactic intestinal splinting and prevents additional adhesions, kinking, and resulting new ileus conditions.
治疗术后肠梗阻的目标必须是肠道减压，以防止疾病进一步发展。有两种不同的方法：（1）闭式减压，（a）通过经口或经肛门剥离肠管，或（b）通过腔内肠管；（2）通过肠切开术进行开放式减压。由于剥离肠管会导致肠壁创伤，因此通过腔内肠管进行吸引可被视为一种保护性措施。术前，将管子经鼻插入胃内，然后从那里经幽门和十二指肠插入空肠上段。使用长肠管进行肠道减压还可起到预防性肠固定作用，并防止额外的粘连、扭结以及由此导致的新的肠梗阻情况。
