Krasil'nikov D M, Skobelkin O K, Fëdorov V V, Tverskov S V, Zaripov N Z
Vestn Khir Im I I Grek. 1994 Jan-Feb;152(1-2):17-21.
Under analysis were results of surgical treatment of 4908 patients with diseases of organs of the abdominal cavity obtained during the period from 1985 till 1990. In 57 patients relaparotomy was caused by early postoperative commissural ileus. Late diagnosis of the main disease, technical and tactical errors during operations and at the early postoperative period were responsible for the appearance of the commissural ileus. Of special significance in getting better results of treatment of patients with this complication are: timely diagnosis (with contrast enterography), obligatory decompression and intubation of the gastrointestinal tract, valuable intensive therapy with the ultraviolet laser intravascular photomodification of blood.
分析了1985年至1990年期间4908例腹腔器官疾病患者的外科治疗结果。57例患者因术后早期粘连性肠梗阻而行再次剖腹术。主要疾病的晚期诊断、手术及术后早期的技术和策略失误是粘连性肠梗阻出现的原因。对于改善该并发症患者的治疗效果具有特别重要意义的是:及时诊断(采用对比小肠造影)、强制性胃肠道减压和插管、采用紫外线激光血管内血液光调制的有效强化治疗。