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Chinese Medicine Retention Enema extensive experience of adhesive intestinal obstruction


1 on 4 January. Medical record number; 44934. Chief Complaint: paroxysmal abdominal pain with frequent vomiting for two days. Two days ago, there were no incentives to the navel on both sides of persistent pain, paroxysmal increase, with nausea, vomiting,[link widoczny dla zalogowanych], stomach contents, no defecation, exhaust. Abdominal radiography: 2,8,4 stepped multiple small intestinal gas liquid. Diagnosis of complete obstruction. The fast infusion therapy, his condition continued to deteriorate, increasing abdominal pain, refused to press, body temperature, then switch to our hospital. Patient to complete mechanical intestinal obstruction, diffuse peritonitis hospital emergency people. Instantly in continuous epidural anesthesia laparotomy, intraoperative intraperitoneal see the package, since the intestine duodenum jejunum on the song, down to the ileocecal valve, completely enveloping the fibrous capsule in the small intestine was frozen like arrangement,[link widoczny dla zalogowanych], section of fiber cable between the wall adhesions, fixed on the abdominal wall, can not be asked out. A large number of yellow liquid leaking, bowel expansion, enlargement, multiple petechiae, part of the bowel was dark purple, more fluid cavity, narrow area and no calcification, no tumor and intussusception. Mesenteric short, stunted growth, film rough. Implementation of adhesion lysis,[link widoczny dla zalogowanych], loosen the small intestine is about 5 meters, in order to prevent re-adhesion, small intestine cross the line arrangement of surgery. After surgery, patients with abdominal fullness,[link widoczny dla zalogowanych], for the prevention of re-adhesion obstruction, intestinal blood circulation to improve the situation, after 24 hours of training to Jiangni Qi, Tong Yang Tong Fu Chinese medicine in the capture of retention enema. Recipe: Rhubarb 10g Glauber's salt 6g (blunt) Magnolia Citrus aurantium 15g 10g 15g Toosendan 20g Angelica patients from Hong Shao 10g 10g 20g Radish Seed Coix 15g peach kernel 10g honeysuckle 20g. 100 ml thick fried, retention enema. Defecation six times after treatment, about 800 ml of defecation, abdominal distension with ease. But 10 hours later there mass, still need medication enema. Towel after 22 days,[link widoczny dla zalogowanych], the patient can not eat water barrier by the end of subclavian vein infusion of high-nutrition maintained. The daily soup with Tongfu enema once daily bowel movements can be 3 to 4 times, and can keep your tummy is soft, asymptomatic. Starting from August 8 condition improved, the patient can be administered orally diet and medicine, then switch to prescription righting soup. Recipe: 15g Astragalus Codonopsis arrested Qi Zi 10g 15g 10g Ligustrum Citrus Pinellia 10g 10g 10g Angelica from Shao 10g. Shuijianbi day one, until April 1 was discharged. Check the discharge, abdominal discomfort and no mass, can be into the regular diet, body weight increased by 3 kg. Extensive legal hanging intestinal obstruction, both before and after operation there, In addition, there were bruises after the heat of the Hou, Tongfu soup has the administration of the treatment of generalized adhesive intestinal obstruction has two advantages. First, rectal medication is not stomach acid damage, some of the drugs active ingredients, without liver detoxification, with a high absorption rate, efficacy of the characteristics to play fast. secondly, intestinal gastrointestinal tract obstruction due pneumatosis effusion, elevated intestinal pressure and stimulate the intestinal vagus nerve, causing the patient nausea, vomiting, oral administration is difficult to achieve, and rectal administration to avoid the above shortcomings. patients can eat, you should use Jue is soup, replenishing spleen and kidney, strengthening and restoring, Tongfu soup is not abused, or easy to switch to virtual settlement of the card.
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