摘要目的 探讨急性粘连性小肠梗阻外科干预的时机、适应证与预后分析.方法 回顾性总结分析2000年1月至2009年7月收治的48例急性粘连性小肠梗阻的临床资料、手术时机和适应证.结果 治愈41例,好转5例,死于感染性休克2例,术后并发肺部感染10例,切口感染8例,腹腔残余脓肿5例,短肠综合征3例,肾功能不全2例,经综合治疗后痊愈.结论 急性粘连性肠梗阻在保守治疗过程中应及时发现早期肠绞窄的线索,果断决定手术治疗,手术时机宜早勿迟,手术指征宜宽勿严是提高临床治愈率、降低并发症和病死率的重要措施.

abstractsObjective To investigate the acute adhesive small-bowel obstruction timing of surgical intervention、indications and prognosis. Methods A retrospective analysis of 48 cases of acute adhesive smallbowel obstruction of the clinical data, surgical timing and indications, which were treated from January 2000 to July 2009.Results 41 patients cured,5 cases improved, two deaths from septic shock, postoperative pulmonary infection in 10 cases,8 cases of wound infection, intra-abdominal residual abscess in 5 cases, short bowel syndrome in 3 cases,2 cases of renal insufficiency, which were cured through combined treatment. Conclusion Acute adhesive intestinal obstruction in a conservative course of treatment should be to discover clues of early intestinal strangulation, decisive decision to surgical treatment, timing of surgery are advised to be early, not late.Being loose instead of strict in surgical indications is the important measures to improve the clinical cure rate and reduce complications and mortality.