Clinical analysis of 48 cases of sudden cardiac death, relation result Operation treatment of 44 cases in which the preoperative diagnosis of intestinal strangulation. 20 cases, surgery was confirmed in 14 cases for the preoperative diagnosis of intestinal strangulation and for adhesive intestinal obstruction in 24 patients, intraoperative findings showed intestinal strangulation in 6 cases. This group of 20 patients with intestinal strangulation had an average of 24 cases of intestinal resection and anastomosis without strangulation. Zun adhesion iisis. In 28 cases of ye furuncle, mainly through gastrointestinal decompression, infusion, anti-inflammatory and other measures. Results: all of the 72 cases had clinical symptoms (abdominal pain, abdominal distension, anal exhaust after the disappearance of stop). Institute. Postoperative incision infection occurred in 5 cases of severe low K, in 3 cases. Anastomotic fistula (split, 1 case). Discuss 2.1 Diagnosis and Treatment: This group of 68 patients had a history of abdominal operation, most patients presented with abdominal pain, abdominal distension, vomiting, and cessation of anal exhaust or defecation and other typical ileus clinical manifestations combined with abdominal fluoroscopy (abdominal cavity fluid level) to diagnose adhesive intestinal obstruction due to abdominal trauma, operation, bacterial infection tissue loss as a result of inflammatory response sufficient adhesion formation in the common original idle. Abdominal adhesions do not necessarily cause intestinal obstruction; adhesions only form an acute angle, partially narrowing the bowel, forming internal hernia or volvulus leading to intestinal obstruction. Intestinal blood supply disorder occurs in intestinal strangulation. This group underwent non-surgical treatment for 28 cases of gastrointestinal decompression. Mainly through the nail effect, infusion, anti-inflammatory and other measures. It has been reported in the literature that using Mie tube instead of gastric tube for gastrointestinal decompression can achieve more effective gastrointestinal decompression. The transit operation for adhesion intestinal obstruction reduces the number of inpatient bed days and shortens the stay. However, catching the tube by gastroscope and fiber mirror assistance to place the Mie tube into the duodenal descending part requires certain conditions. For this group, preoperative diagnosis of intestinal strangulation, 2 cases with 1I (1 inverted Wang Shi. Li did not make bowel strangulation diagnosis and operation in 24 cases. Intraoperative diagnosis of intestinal strangulation in 6 cases, the misdiagnosis rate of intestinal strangulation was 30%. As Sarr says: even experienced surgeons experience simple intestinal obstruction towel 3L operation confirmed strangulated intestinal obstruction therefore. For conservative treatment is invalid or effect is not obvious adhesion ileus pail. J is considered in intestinal strangulation deposit and timely treatment. Foot not _ FF effect assessment and cut, so as not to delay treatment. Strangulated intestinal obstruction is different from pure ileus Shang Ding F column characteristics: intense abdominal pains, from paroxysmal hair tendon as a persistent blind pain. The patient quickly goes into shock. Shock treatment is not easy to improve. Vomit or anal row m for m fJ { liquid or rectal examination with abdominal asymmetry of finger blood. Touch the correct fixed pain bulging E. loop @ has obvious peritoneal irritation sign (tenderness, rebound tenderness, Serge iIJ _ ). Intestinal peristaltic sound changes from hyperthyroidism to weaken or even disappear. X-ray examination shows separate large herniated bowel loops. Non-surgical treatment actively administered without significant improvement. On the condition of L adhesive ileus patients should be hard to make bowel strangulation diagnosis and emergency operation treatment. In the group: { cases with severe low K disease. Low serum K easily causes cardiac arrhythmias and intestinal paralysis, inevitably increasing the difficulty of treating adhesive intestinal obstruction. The cause of low blood K in adhesion intestinal obstruction victims was insufficient. Gastrointestinal fluid loss. Ignoring aqueous electrolyte, acid-base balance monitoring and timely supplementation related. Flash this. Now aqueous electrolyte, acid-base balance should be given enough attention. This group's cases of anastomotic fistula are three } for dry even ileus. Abdominal extensive adhesions. Intestine forms clusters, into blocks. Following intestinal anastomosis forms new adhesion obstruction. Operation number. Each organ adhesion is more severe complex. Operation can only lift temporary obstruction, cannot eliminate adhesions; thus, then can eliminate intestinal strangulation intestinal obstruction due to adhesions, should prioritize non-surgical treatment, and during the non-surgical treatment process, make timely treatment judgment effectively, and adjust treatment measures promptly. In addition, in adhesive ileus, use analgesics as little as possible, especially strong analgesic agents, so as not to delay disease diagnosis and treatment. 2.2 Prevention 2.2.1 Strictly follow the principle of surgical operation: preoperatively wash gloves: talcum powder, the operation should be gentle, minimize distraction, reduce intestinal visceral serosal and peritoneal injury, peritoneal defects, lack of possible repair. Do not expose the bowel for a long time during the operation. If the loop is out of extraperitoneal, use 0.9 saline gauze to wrap it to prevent its D from drying. Do not block the vascular clamp tube for a long time, avoid large tissue sutures, ligations, so as not to affect blood supply leading to tissue ischemia and necrosis. Avoid gastrointestinal contents spill contaminating the peritoneal cavity, contamination of the peritoneal cavity deer suction pollution during operation time, rinse peritoneal with saline and human iodophors to reduce peritoneal residual liquid infection machine. Use small suture needles and reduce residues (such as a long) drainage tubes using small irritant materials, and ensure postoperative L. J stream tube patency, discharge.