王大玉黑龙江省绥芬河市人民医院普通外科，黑龙江绥芬河 157399

    糖尿病病人腹部手术后早期肠梗阻的临床诊断与治疗

    王大玉

    黑龙江省绥芬河市人民医院普通外科，黑龙江绥芬河 157399

    [摘要]目的 对糖尿病患者在进行腹部手术后发生早期肠梗阻的临床诊断和治疗进行分析。方法 选取2012年4月—2013 年7月入住该院进行治疗的25例糖尿病腹部手术后早期肠梗阻患者作为研究对象,对其临床资料进行回顾性分析,分析其诊断方法和治疗手段以及疗效。结果 25例患者中,有24例患者进行非手术治疗,在治疗后肠梗阻症状消除,肠道功能在8~35 d内恢复正常。1例患者进行手术治疗,在手术过程中,由于其小肠发生扩张,小肠壁出现弥漫性的出血点,未发现其发生机械性肠梗阻的原因,在手术后由于发生失血性休克,进行治疗后,无效死亡。结论 糖尿病患者手术后早期肠梗阻具有较为明显的临床特点,糖尿病患者在进行腹部手术后容易并发早期肠梗阻,非手术治疗是可行的治疗方法,在围手术期对患者的血糖进行控制是治疗有效的关键。

    [关键词]糖尿病；腹部手术；肠梗阻；诊断；治疗

    Diabetes Patients Clinical Diagnosis and Treatment of Early Intestinal Obstruction after Abdominal Surgery

    WANG Da-yu

    Suifenhe,Heilongjiang province People’s hospital of general surgery,Suifenhe,Heilongjiang Province,157399 China

    [Abstract]Objective After abdominal surgery in patients with diabetes in early clinical diagnosis and treatment of intestinal obstruction were analyzed. Methods In April, 2013 to July 2012, our hospital for treatment of 25 patients with diabetes early intestinal obstruction after abdominal surgery as the research object, the clinical data were retrospectively analyzed, analysis its diagnostic methods and treatment and curative effect. Results 25 cases of patients, 24 patients with non-surgical treatment, after treatment symptoms of intestinal obstruction, intestinal function returned to normal within 8 ~ 35 days. 1 patients for surgical treatment, in the process of operation, expansion due to the small intestine, small intestine diffuse petechiae, did not find the cause of mechanical intestinal obstruction, and after surgery because of uncontrolled hemorrhagic shock, after treatment, died. Conclusion Diabetes patients of early intestinal obstruction after operation has more obvious clinical characteristics, diabetic patients easily complicated with early intestinal obstruction after undergoing abdominal surgery, non-surgical treatment is feasible treatment method, the patients in perioperative blood glucose control is the key to effective treatment. ......