The basis for obstruction

Monday, March 31, 2008 · Posted in

1. Correct water, electrolyte and acid-base balance disorders: regardless surgical and non-surgical treatment to correct water, electrolyte and acid-base balance disorder is a very important measure. Is the most commonly used intravenous infusion of glucose solution, isotonic saline; such as obstruction has been in existence for a few days, and potassium to the high frequency of small bowel obstruction and vomiting patients is particularly important. However, the capacity and type of infusion required to be in accordance with vomiting, dry signs, blood concentration of the urine output and proportion and, in conjunction with serum potassium, sodium, chlorine and carbon dioxide combination of the results of monitoring. Simple intestinal obstruction, especially early, the physiological disorder more easily corrected. Late in the simple obstruction and strangulating intestinal obstruction, remains to be lost to the plasma, whole blood or plasma substitutes to compensate for the loss to the abdominal cavity or lumen and blood plasma.
2. Gastrointestinal decompression: treatment of intestinal obstruction is one of the important methods. Through the gastrointestinal decompression, the gastrointestinal absorption of gases and liquids, can alleviate abdominal distension, intestinal reduce the pressure to reduce the intestinal bacteria and toxins, improve blood circulation intestinal wall, and is conducive to improving the situation of local and systemic disease.
Gastrointestinal decompression generally use the shorter cavity-gastric tube. But low intestinal obstruction, can be used longer M-A double-lumen tubes, the gas injection can be lower with the film capsule by peristalsis promote balloon catheter obstruction brought to a site, decompression effective.
3. Toxemia and infection prevention: use of antibiotics to combat bacterial infections, thereby reducing toxins have a certain role. Applications may generally simple obstruction, but simple intestinal obstruction late, especially strangulating intestinal obstruction, as well as surgical treatment of patients, should be used.
In addition, can also be applied tranquilizers, Antispasmodic agents generally symptomatic treatment, the application of pain is to follow the principle of treating acute abdomen.

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