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目的分析剖宫产术后麻痹性肠梗阻的发病原因,探讨该疾病的诊断方法及临床治疗体会及预防措施。方法对天津市红桥医院2011年11月1日至2013年10月31日收治的剖宫产术后并发麻痹性肠梗阻11例的临床资料进行回顾性分析。结果 11例患者均为术后1~3 d发病,表现为进行性加重上腹部胀痛,伴恶心呕吐,肠鸣音减弱或消失,腹部X线提示肠管充气扩张伴气液平面,通过积极保守治疗,均痊愈出院。结论严格掌握剖宫产手术指征,降低剖宫产率,提高手术技巧及熟练度,警惕危险因素,积极预防麻痹性肠梗阻发生,术后严密观察,一旦发生做到早发现、早诊断、早治疗。
Objective To analyze the causes of paralytic ileus after cesarean section and to discuss the diagnosis methods, clinical experience and preventive measures. Methods The clinical data of 11 cases with paralytic ileus after cesarean section were treated in Hongqiao Hospital of Tianjin from November 1, 2011 to October 31, 2013 were retrospectively analyzed. Results All the 11 patients developed disease 1 ~ 3 days after operation. The symptoms were progressive aggravation of upper abdominal pain, nausea and vomiting, decreased or disappearance of bowel sounds, abdomen X-ray, Treatment, were cured and discharged. Conclusion Strict cesarean section indications, reduce the rate of cesarean section, improve surgical skills and proficiency, vigilance risk factors, and actively prevent the occurrence of paralytic ileus, postoperative close observation, in the event of early detection, early diagnosis, Early treatment.