肠梗阻需要切除肠子吗

Sep 20, 2024 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
Simple intestinal obstruction usually refers to a condition where the blood supply to the bowel is not compromised; it may not require surgical treatment or bowel resection. In contrast, strangulated intestinal obstruction involves impaired blood flow to the intestine, resulting in more severe symptoms. It typically requires emergency surgery, and if the bowel has already become necrotic, removal of the dead segment of the intestine may be necessary to prevent further deterioration of the condition.

  一般情况下,肠梗阻是否需要切除肠子取决于梗阻的类型和严重程度。具体分析如下:

  肠梗阻指肠道内容物在肠道内通过时受到阻碍的情况,一种常见的急腹症分为单纯性肠梗阻和绞窄性肠梗阻。单纯性肠梗阻指肠道内容物通过受阻,但肠道的Blood供应尚未受损的情况。在这种情况下,肠管的血管仍然能够正常供血,肠壁没有发生缺血或坏死,通常不需要SurgeryTreatment。可以通过禁食禁水、静脉输液等非SurgeryTreatmentMethod来缓解梗阻,不需要切除肠子。

  而绞窄性肠梗阻则涉及到肠道的Blood循环受到阻碍,导致肠道组织缺血,甚至坏死。通常需要EmergencySurgeryTreatment,若肠管已经坏死,可能需要切除坏死的肠子来防止病情恶化。若发现肠梗阻,Recommendation及时就医,由专业Doctor评估并决定最佳的Treatment方案。

  在日常Life中,Recommendation保持均衡Diet,摄入高纤维食物以促进肠蠕动,防止便秘,定期进行肠道Examination,以Prevention肠梗阻。

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