Некоторые аспекты лечения больных с острой кишечной непроходимостью

The purpose of the research is to improve the results of treatment of patients with acute intestinal obstruction, by developing and implementing a rational program of prevention and treatment of postoperative complications. Material and methods. For 4 years in surgery department at HfVW in Kazan 106 patients with various forms of acute intestine obstruction were hospitalized (IPOs). Diagnosis was based on anamnesis and examination, the radiographic signs, ultrasound, diagnostic radiopaque. All hospitalized patients received standard treatment aimed primarily to combating shock and intoxication, correction of water-electrolyte and protein balance, restore natural passage through the intestines. Results and discussion. As a result of treatment ileus resolved conservatively in 83 (78,3%) patients, in 23 (21,7%) cases due to the ineffectiveness of conservative methods, patients were operated on. The approaches of infusion therapy at various stages of intestinal obstruction are determined. Postoperatively, the frequency of purulent-septic complications was 17,3% (4 cases). Postoperatively, 1 patient died. Overall postoperative mortality was 4,3%. Conclusion. The complex treatment of patients with acute intestinal ileus certainly influenced by such factors as the patient''s age, length of stay, the pathological process in the abdominal cavity, the presence and nature of comorbidity.