肠梗阻介入治疗进展

被引：15

作者：

李瑞奇

沈可欣

罗海

谢忠士

机构：

[1] 吉林大学中日联谊医院胃肠结直肠外科

来源：

中国实用外科杂志 | 2019年 / 39卷 / 12期

关键词：

肠梗阻; 经鼻肠梗阻导管; 经肛肠梗阻导管; 自膨式金属支架;

D O I：

10.19538/j.cjps.issn1005-2208.2019.12.25

中图分类号：

R656.7 [小肠];

学科分类号：

100201 [内科学];

摘要：

<正>任何原因引起的肠内容物通过障碍统称为肠梗阻。肠梗阻病因复杂,病情进展迅速,往往伴随相应病理生理学改变,多数肠梗阻尤其是高位肠梗阻病人常伴随呕吐,可引起酸碱平衡紊乱及水电解质平衡失调。肠梗阻病人远端肠管梗阻,可能出现梗阻肠壁水肿、淤血,肠腔内毒素吸收,引起白细胞增高,甚至全身炎性反应综合征（SIRS）的发生。并非所有肠梗阻病人都须行手术治疗,应根据病人病情、生命体征及相关影像学检查,辨别有无绞窄或即将出现的绞窄,决定手术时机。对于无腹膜炎病人,约90%可行非手术治疗[1],处理原则通常包括:禁食、鼻胃管减压、补液、维持电解质平衡及必须的营养支持[2]。随着介入时

引用

页码：1340 / 1343

页数：4

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