Objective To summerize some results of non-operative therapy on senile incomplete intestinal obstruction in our hospital.Methods Select 69 cases senile incomplete intestinal obstruction who suit non-operative therapy, review the treatment, and particularly describe the measures of unobstruction and antibiotics used in bowels.Results Of the 69 patients, there are 48 completely catabatic cases and 21 part catabatic cases.Conclusion Old people are charecterized by frequent co-current diseases and poor reacting ability, non-operative therapy is much more profer for them. Somatostatin can decrease the secretion of digest fluid so as to alleviate the abdomen distention; it can much more efficienctly prevent the bowel bacteria immigration and peritonitis that to give the antibiotic agents via venous and gastric tube simultaneously.

目的:探讨添加谷氨酰胺(Gln)双肽的低热量肠外营养(PN)在高龄腹部手术病人中的应用价值. 方法:40例病人随机分成研究组和对照组,各20例.所有病人术后第1～6天接受等热量83.6 kJ/(kg*d)、等氮0.16 g/(kg*d)的PN支持,研究组病人另增加0.3 g/(kg*d)的Gln双肽.术前及术后第1、7天检测血清白蛋白、前白蛋白、IgG、IgA和IgM,并进行淋巴细胞计数(LCC).计算术后第1、4、7天氮平衡. 结果:两组病人术后血清白蛋白和前白蛋白值均较术前下降,对照组下降明显(P<0.05);术后LCC均较术前升高,尤以研究组升高显著(P＜0.01).累积氮平衡研究组明显高于对照组(P＜0.05).未观察到不良反应或并发症. 结论:添加Gln双肽的低热量肠外营养在高龄腹部手术病人中使用安全,具有改善氮平衡、减轻术后血清蛋白水平下降和促进淋巴细胞计数恢复的作用.