Friday, July 16, 2010

How to prevent intestinal obstruction?

Obstruction occurs, should be the basis of timely treatment in order to maintain the basic life of the patient state.

1. Correcting water, electrolyte disorders and acid-base disorders: both surgical and non-surgical treatment used to correct water and electrolyte disorders and acid-base imbalance is a very important measure. The most commonly used is intravenous infusion of glucose solution, isotonic saline; such obstruction has existed for several days, also need potassium, on the high frequency of small intestinal obstruction and vomiting is particularly important to patients. However, the required capacity and type of fluid required by vomiting, water signs, blood concentration level, urine volume and proportion, and combined with serum potassium, sodium, chlorine and carbon dioxide combining power monitoring outcome. Simple obstruction, particularly early, easier to correct the physiological disorder. Late in the simple obstruction and strangulated intestinal obstruction, yet to lose to the plasma, whole blood or plasma substitutes to compensate for the loss to the intestine or peritoneal cavity and blood plasma.

2. Gastrointestinal decompression: the treatment of intestinal obstruction in one important way. Through the gastrointestinal decompression, suction out the gastrointestinal tract of gases and liquids, can reduce bloating, reduce the pressure on the intestine to reduce the luminal bacteria and toxins, improve blood circulation of the intestinal wall, help improve local disease and systemic conditions.

Gastrointestinal decompression generally shorter single-cavity tube. But the low intestinal obstruction, can be applied to a longer double-lumen tube MA, the lower end of the film with gas injection capsule can, by promoting bowel movement with a balloon catheter to the site of obstruction, decompression is better.

3. Prevention of infection and sepsis: use of antibiotics to control bacterial infection, thereby reducing the production of toxins have a role. General simple obstruction from time applications, but simple obstruction late, especially strangulating intestinal obstruction, and surgical treatment of patients, should be used.

There is also the application of sedatives, antispasmodic agents generally symptomatic treatment, the application of analgesics is to follow the principles of the treatment of acute abdomen.

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