探讨术后早期炎性肠梗阻的发病机制、临床特点、诊治方法及预防措施。

对2008年10月至2012年7月山西省定襄县中医院收治的42例腹部手术后早期炎性肠梗阻患者的临床资料进行回顾分析，42例患者均表现为排气后肠蠕动一度恢复、进食后又出现以腹胀为主的肠梗阻症状，经查体和X线腹部平片确诊。

40例经保守治疗后治愈，于5～21 d（中位时间9 d）肠蠕动重新恢复，效果良好。2例保守治疗2周不见缓解，1例由于黏连导致血运障碍而行部分小肠切除术，另1例腹腔肠管广泛黏连、扩张，行黏连松解术并肠排列术，中位治愈时间为15 d。

术后早期炎性肠梗阻，多发于腹部手术后2周以内，治疗取决于引起梗阻的原因及临床病情进展情况，首选保守治疗。

To investigate the cause, clinical features, diagnosis and treatment of early postoperative inflammatory bowel obstruction.

A retrospective analysis of 42 clinical patients with early postoperative inflammatory bowel obstruction was conducted in our department. The bowel movement once recovered after exhaust, but intestinal obstruction, a predominantly bloating symptom, occurred again after eating. It was diagnosed with physical examination and X-ray.

Forty patients were cured through conservative treatment, and bowel movements recovered after 5-21 d (median time 9d). The other 2 were not cured 2 weeks after the conservative treatment. Therefore one was given partial small bowel resection due to blood supply obstacles and adhesion, the other adhesion release and arranged operation because of wide synechia and expansion of the bowel loops. The median cured time was 15 days.

Early postoperative inflammatory bowel obstruction often occurs 2 weeks after abdominal operation. Treatment should be carefully based on the causes and clinical progress. Conservative treatment is the primary choice for early postoperative inflammatory bowel obstruction.