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目的分析研究颈内动脉支架植入术麻痹后性肠梗阻的治疗方法。方法选取1例68岁男性颈内动脉支架植入术麻痹后性肠梗阻患者,并对其进行给与左侧颈内动球囊扩张+支架植入术治疗。结果患者术后夜间自觉有轻度腹胀,无排便排气,当时查体腹软,无压痛反跳痛,未给与特殊处理。大黄灌肠第2d清晨患者出现排气,腹胀较前减轻,患者能少量进食,大黄灌肠第3d出现排少量黄色稀便,腹胀消失,停止灌肠,患者逐渐恢复正常,继续住院1周出院。结论对颈内动脉支架植入术有麻痹后性肠梗阻易患因素的患者,应警惕介入术后可能出现类似并发症,应积极预防。
Objective To analyze the treatment of intestinal obstruction after carotid artery stent implantation. Methods A 68-year-old man with carotid artery stenting who underwent paralyzed ileus was enrolled and treated with left internal carotid artery balloon dilation and stenting. Results The patient had mild abdominal distension and no defecation exhaust at night. At the time, he was found to have abdominal softness without tenderness and rebound tenderness, and no special treatment was given. Rhubarb enema on the 2nd day early in patients with exhaust, abdominal distension less than before, the patient can eat a small amount of rhubarb enema 3d row row a small amount of yellow loose stool, abdominal distension disappeared, stop enema, the patient gradually returned to normal, continue to hospital for 1 week and discharged. Conclusion In patients with carotid artery stenting who are susceptible to paralytic ileus, we should be alert to the possibility of similar complications after intervention and should be actively prevented.