Quatromoni J C, Rosoff L, Halls J M, Yellin A E
Ann Surg. 1980 Jan;191(1):72-4. doi: 10.1097/00000658-198001000-00014.
The hospital records of 41 patients with a diagnosis of early postoperative small bowel obstruction were reviewed in an attempt to identify criteria which could be used to separate those patients who would require an operation to resolve their obstruction, from those who would resolve with nonoperative therapy. The usual symptoms, signs and roentgenologic changes seen with mechanical bowel obstruction were not useful discriminants in making such a determination. All patients were initially treated nonoperatively with intestinal intubation, antibiotics and parenteral fluids. Thirty patients resolved without an operation and 11 required an operation. There was one death in the latter group, an overall mortality of 2.4%. Initial nonoperative therapy is warranted in such patients.
回顾了41例诊断为术后早期小肠梗阻患者的医院记录，试图确定可用于区分那些需要手术解除梗阻的患者与那些可通过非手术治疗缓解的患者的标准。机械性肠梗阻常见的症状、体征和放射学改变在做出这种判断时并非有用的鉴别因素。所有患者最初均采用肠道插管、抗生素和胃肠外补液进行非手术治疗。30例患者未经手术即缓解，11例需要手术。后一组中有1例死亡，总死亡率为2.4%。此类患者最初进行非手术治疗是合理的。
