Surgical Treatment Of Acute Intestinal Obstruction And Its Clinical Efficacy

Objective: Acute intestinal obstruction is one of the most common acute abdomen in gastrointestinal surgery.Acute intestinal obstruction occurs within a short period of time can lead to changes in physiology and pathology of patients with systemic,if not treated,may cause serious consequences,and even death.Because there is no obvious clinical symptoms in the early stage of simple intestinal obstruction,it is prone to misdiagnosis.With the continuous development of the disease,can appear blood routine showed white blood cells,neutrophils increased significantly,and biochemical abnormalities.X-ray stand can generally be a clear diagnosis of intestinal obstruction.For complicated intestinal obstruction,abdominal CT scan or barium enema X-ray examination can also be performed.Therefore,it is very important to master the diagnosis and treatment of acute intestinal obstruction.In this paper,the First Affiliated Hospital of Dalian Medical University from 2011 to 2016,gastrointestinal surgery admitted to the clinical diagnosis(discharge diagnosis)for patients with acute intestinal obstruction.To summarize the best surgical treatment for acute intestinal obstruction.Methods:According to the relevant literature and data,300 patients with acute intestinal obstruction were randomly selected from the First Affiliated Hospital of Dalian Medical University from 2011 to 2016.All the cases were in accordance with the clinical manifestations,laboratory examination and imaging examination criteria(see the inclusion criteria).To investigate the clinical data,treatment methods,treatment outcome and hospitalization time.Objective: to analyze the prognosis of different treatment methods(conservative treatment and surgical treatment),and to explore the operative time and clinical effect of acute intestinal obstruction.Results:(1)300 patients with acute intestinal obstruction were treated with conservative treatment in the end of the year,and 195 cases were treated with surgery in the treatment of 105 cases.A total of 283 cases were cured,and there were died in the treatment of the disease.Among them,there were 11 patients died in conservative treatment,and the other patients died in operation in 6 cases;Conservative treatment of184 patients were cured,the death of 11 people.The cure rate was 94.36%,and the mortality rate was 5.64%.In the treatment group,the cure rate was 99 and the death rate was 6.Cure rate was 94.29%,mortality rate was 5.71%.There was no significant difference in cure rate and mortality rate between the two groups,P>0.05.However,compared with the number of deaths,conservative treatment was significantly higher than surgical treatment.(2)The operative treatment of 105 cases of patients,12 underwent surgery within 6hours after admission,the death of 0 people;24 hours of hospitalization(including surgery within 6 hours of admission)36 people,0 people died within 3 days after surgery;85 people,1 people died within 7 days after surgery;90 people died,2 people,were more than the 7 day of operation of 15 people,3 people died.(3)Analysis of the six cases of death in patients with acute intestinal obstruction and the causes of death of acute intestinal obstruction type,not timely treatment of death causes is the leading cause of death in strangulated intestinal obstruction is the main type of death.(4)The average hospitalization days for conservative treatment(10.35+3.25)days;the average hospitalization days for the surgical treatment of(11.75+3.56)days,P>0.05,two kinds of treatment had no significant difference in the average hospitalization days.Conclusion: First,In clinical work,pain,vomiting,swelling,closed is the diagnosis of acute intestinal obstruction in addition to the necessary clinical evidence,according to the laboratory examination and imaging examination to accurate and timely diagnosis of acute intestinal obstruction,and to determine the treatment plan.At present,according to the survey results show that conservative treatment is still the mainstream of patient treatment options,but in clinical work,need to grasp the surgical indications for timely,clear indications for surgery patients,timely surgical treatment,so as not to delay the disease.Second,the best treatment time of acute intestinal obstruction is less than 3 days,if the conservative treatment for 3-7 days,clinical symptoms do not ease,must be timelysurgical treatment.If more than 7 days,the patient's prognosis is poor,and even serious consequences,leading to serious complications or death.Early surgical treatment is an effective treatment for acute intestinal obstruction.