Identification of the two is very important, because the two obstruction in their prognosis and choice of treatment methods are completely different. Simple adhesion induced intestinal obstruction, should be the first choice of non-surgical treatment. Strangulating intestinal obstruction of the blood supply obstacles exist, intestinal necrosis have occurred at any time, the possibility of peritonitis, surgical treatment should be adopted immediately. Simple and strangulating intestinal obstruction in the differential diagnosis, and sometimes there are some difficulties when any of the following performance, strangulating should consider the possibility of bowel obstruction.
(1) Multi acute onset, may have been secondary to the simple presence of intestinal obstruction.
(3) increasing the pulse of more than a fast early, hypotension or shock, narrow pulse pressure, temperature increase.
(4) abdominal lesions muscle tension, tenderness and anti-Tiaotong fixed.
(5) for the bloody vomit blood from the anus or liquid.
(6) a peritoneal fluid, the liquid can puncture bleeding.
(7) the active non-surgical treatment, the symptoms did not improve.
Early clinical strangulating intestinal obstruction preoperative misdiagnosed as simple obstruction are not uncommon. We think that if we can not rule out strangulating intestinal obstruction, should actively carry out surgical exploration.
(1) Multi acute onset, may have been secondary to the simple presence of intestinal obstruction.
(3) increasing the pulse of more than a fast early, hypotension or shock, narrow pulse pressure, temperature increase.
(4) abdominal lesions muscle tension, tenderness and anti-Tiaotong fixed.
(5) for the bloody vomit blood from the anus or liquid.
(6) a peritoneal fluid, the liquid can puncture bleeding.
(7) the active non-surgical treatment, the symptoms did not improve.
Early clinical strangulating intestinal obstruction preoperative misdiagnosed as simple obstruction are not uncommon. We think that if we can not rule out strangulating intestinal obstruction, should actively carry out surgical exploration.
