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Why should intestinal obstruction be treated early?
Why should intestinal obstruction be treated early? Intestinal obstruction is a more dangerous disease, especially when middle-aged and elderly people suffer from intestinal obstruction, not only are they prone to long-term torture, and the stool cannot be discharged, but there is also the risk of serious diseases. Therefore, we need to pay attention to it and cause problems. Seek medical attention immediately.
Intestinal obstruction is a relatively serious intestinal disease. After the onset, different symptoms will occur because of the different parts and scope of the intestinal tract involved. Therefore, during treatment, targeted treatment should be carried out according to different symptoms.
Treatment measures for intestinal obstruction
01. Basic treatment:
The main measures include fasting, gastrointestinal decompression, correction of water, electrolyte and acid-base balance disorders, prevention and treatment of infection and poisoning, administration of somatostatin to reduce gastrointestinal fluid secretion to reduce gastrointestinal dilatation, and application of antispasmodics, as appropriate, Tranquilizers, etc.
Gastrointestinal decompression: Nasogastric tube decompression is often used, the stomach contents are first evacuated, and then continuous low negative pressure suction is performed. During gastrointestinal decompression, keep the pipeline unobstructed and the effective negative pressure of the decompression device, pay attention to the color, shape and quantity of the drainage fluid, and record it correctly.
Placement position: take a low semi-recumbent position to reduce tension on the abdominal muscles and facilitate the patient’s breathing.
Replenishing fluids: closely monitor the number of vomiting, the amount and properties of vomit, as well as skin elasticity, urine volume, urine specific gravity, hemoconcentration, serum electrolytes, blood gas analysis results, etc., according to the condition of the doctor to replenish the amount and type of fluid.
Diet and nutritional support: Fasting is required when intestinal obstruction, and parenteral nutrition should be given. If the obstruction is relieved, the patient begins to pass gas, defecate, abdominal pain and bloating disappear 12 hours, you can eat a liquid diet, avoid gas-producing sweets and milk, etc.; if there is no discomfort, eat a semi-liquid diet after 24 hours; eat soft food after 3 days .
Application of antispasmodics: After confirming that there is no intestinal strangulation, anticholinergic drugs such as atropine and 654-2 can be used to relieve the spasm of gastrointestinal smooth muscle, inhibit the secretion of gastrointestinal glands, and relieve the patient’s abdominal pain .
Massage or acupuncture therapy: If the intestinal obstruction is caused by incomplete, spastic or simple roundworm, you can gently massage the abdomen in a clockwise direction, and follow the doctor’s advice to apply acupuncture therapy to relieve pain.
02. Non-surgical treatment:
It is suitable for simple adhesive intestinal obstruction, paralytic or spastic intestinal obstruction, intestinal obstruction caused by roundworm or fecal blockage, and incomplete intestinal obstruction caused by inflammation such as intestinal tuberculosis. Methods include traditional Chinese medicine treatment, oral or gastrointestinal perfusion of vegetable oil, etc.
03. Surgical treatment:
It is suitable for various types of strangulated intestinal obstruction and intestinal obstruction caused by tumors and congenital intestinal malformations. Non-surgical treatment is ineffective. There are four types of surgery:
Simple removal of obstruction: such as adhesion lysis, small intestine folding arrangement, intestinal incision and foreign body removal, intussusception reduction, intestinal volvulus reduction, etc.
Intestinal resection: If intestinal tumors, inflammatory strictures, or local intestinal loops have been necrotic, enterectomy and intestinal anastomosis should be performed.
Intestinal short-circuit anastomosis: When it is difficult to remove the obstructive site, such as the advanced tumor has infiltrated and fixed, or the intestinal adhesion becomes a mass and has extensive adhesion to the surrounding tissues, short-circuit anastomosis can be performed between the proximal and distal bowel loops of the obstruction.
Enterostomy or extraintestinal surgery: In patients with low-level obstruction whose general condition is very poor or local lesions cannot be removed, enterostomy can be used to temporarily relieve the obstruction. For simple colonic obstruction, a stoma near the obstruction (transverse colon) is generally used to relieve the obstruction. If there is intestinal necrosis, it is advisable to remove the necrotic intestinal segment and place the broken end externally for ostomy, and then perform second-stage surgery to treat colon lesions.
04. Prevention of complications:
Intestinal obstruction: If the condition is stable, the patient can start moving in bed 24 hours after surgery, and get out of bed 3 days later to promote the recovery of body and gastrointestinal function and prevent intestinal adhesions. Once paroxysmal abdominal pain, bloating, vomiting, etc. occur in the abdomen, fasting, gastrointestinal decompression, correction of water, electrolyte and acid-base imbalances, and prevention and treatment of infections should be taken. Generally, it can be relieved.
Intra-abdominal infection and intestinal fistula: monitor the changes in vital signs and the incision. If the body temperature rises, incision swelling and severe pain occur 3 to 5 days after surgery, the incision infection should be suspected; if local or diffuse peritonitis is present, the abdominal drainage tube When the surrounding fluid is smelly with feces, beware of the possibility of intra-abdominal infection and intestinal fistula.
Intestinal obstruction is a more dangerous disease, especially when middle-aged and elderly people suffer from intestinal obstruction, not only are they prone to long-term torture, and the stool cannot be discharged, but there is also the risk of serious diseases. Therefore, we need to pay attention to problems. See a doctor immediately
(source:internet, reference only)