Bairov G A, Parnes D I
Vestn Khir Im I I Grek. 1976 Jul;11(7):73-8.
In the paper, a clinical experience with treatment of intestinal paresis in 545 children, aged from 1 day to 13 years, including 225 children operated upon for peritonitis is summarized. The authors differentiate 3 stages in the development of intestinal paresis depending on the degree of intensity of systemic and local disturbances. The employed methods of treatment in intestinal paresis were classified by the principle of their effect as 3 groups. Application of some or other method of the paresis therapy is determined by the stage of its development. In treatment of postoperative intestinal paresis a continuous peridural blockade is considered to be the method of choice. Utilization of the latter enabled the authors to reveal a number of postoperative complications: mechanic intestinal obstruction, incompetent anastomosis, etc.
本文总结了对545例年龄从1天至13岁儿童肠麻痹的临床治疗经验，其中包括225例因腹膜炎接受手术的儿童。作者根据全身和局部紊乱的严重程度，将肠麻痹的发展分为3个阶段。根据治疗效果的原则，将治疗肠麻痹所采用的方法分为3组。采用何种麻痹治疗方法取决于其发展阶段。在治疗术后肠麻痹时，持续硬膜外阻滞被认为是首选方法。使用这种方法使作者发现了一些术后并发症：机械性肠梗阻、吻合口功能不全等。
