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作者报告了二例髂骨切取术后并发麻痹性肠梗阻的病人。例1.患者女,62岁,初诊为下颌骨萎缩症,既往无异常,体检提示肺扩张,胸腔前后径增大,偶闻干啰音,心电图检查右束支阻滞,其他无异常。经肺心病治疗二周后手术。病人于气管插管全麻下取髂骨与截骨同时进行,用凿和刮匙取骨10×3厘米,术区反复冲洗,创面严格止血,伤口逐层缝合。术后第二天感腹胀,随后肠鸣音减弱,插鼻胃管抽吸后腹胀缓解,X线示大,小肠显著充气。经禁食补液合理补充电解质,直到术
The authors reported two patients with paralytic ileus following iliacctomy. Case 1. A female patient, aged 62, had a first diagnosis of mandibular atrophy. There was no previous abnormality. Physical examination showed that the lung was dilated, the anteroposterior diameter of the chest increased, occasional dry rales, and right bundle branch block by electrocardiogram showed no abnormality. After pulmonary heart disease treatment two weeks after surgery. Patients under general anesthesia with endotracheal intubation take iliac and osteotomy at the same time, with a chisel and curette bone 10 × 3 cm, repeated washing area, wound hemostasis strictly, the wound layer by layer suture. The second day after operation, the patient experienced abdominal distension and bowel sounds were weakened. Abdominal distension was relieved after aspiration of the nasogastric tube. The X-ray showed large and the small intestine was significantly inflated. After fasting rehydration reasonable electrolyte, until surgery