Neural intestinal obstruction syndrome

Monday, March 31, 2008 · Posted in

[Summary]
Neural ileus (Neurosis Intestinal Obstruction) also known as spastic bowel obstruction, functional bowel obstruction, power intestinal obstruction, Shell homes Mishiji disease, the physician Chercherski levy from the first description of the Soviet Union is also known as the Chercnerski disease. China also reported a small number of cases, the actual levy is not uncommon.
[Diagnosis]
Asked detailed history and physical examination, the vast majority of it is not difficult, in the diagnosis of problems, feasible or abdominal X-ray radiography inspection, such as a gas found in the small intestine and the presence of liquid plane, which is the content of the soup through obstacles, suggested that the possibility of a bowel obstruction, but the disease can be no obvious early X-ray signs of intestinal obstruction, should be particularly vigilant, the diagnosis of this disease primarily on the basis of clinical manifestations, we must not rely solely on X-ray examination to confirm or deny.
[Treatment]
The point is the correct treatment of intestinal obstruction due to the water, electrolyte and acid-base-thin disorders, gastrointestinal decompression to relieve abdominal distention, obstruction top Changduan improve blood circulation, and infection control, Chinese medicine, acupuncture for a certain effect.
[Clinical]
Neural intestinal obstruction can be divided into one. Paralysis of the muscles due to wall movements have lost their inhibitory ability to wiggle, intestinal contents can not run down, found acute diffuse peritonitis, retroperitoneal bleeding or infection.
2. Spastic bowel wall muscle contraction-crack, and often within and outside because of intestinal injury or inflammation, and stimulate foreign body, such as with efficiency. Paralytic ileus minor abdominal pain, mainly as a defecation or exhaust, serious abdominal distention, can cause breathing and heartbeat accelerate and oliguria. Early in the obstruction can be no systemic symptoms, when accompanied by repeated vomiting, dehydration and electrolyte can produce disorder. Paralytic ileus Changming sound extremely weakened or disappeared.

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