恶性肠梗阻的整合治疗

doi:10.16689/j.cnki.cn11－9349/r.2019.04.006

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Abstract Malignant bowel obstruction is a type of intestinal obstruction caused by a malignant tumor, most commonly seen in ovarian, gastric, and colorectal tumors. The pathophysiology of MBO is both similar and significantly different from that of intestinal obstruction caused by benign diseases. Despite the poor overall prognosis, MBO is not an incurable disease. The treatment of MBO is an integrated therapy that includes the following 11 aspects: inhibiting secretion, stopping vomiting, suppressing inflammation, controlling pain, fighting tumors, fluid management, promoting drainage, improving body energy, decompression and drainage, improving nutrition, and recanalization of intestinal cavities. MBO currently does not have a golden rule for all patients, nor does it have a master key that can solve all problems with certainty. The ideal MBO treatment can only be a comprehensive treatment on an individual basis. To form a cross major multi-disciplinary team of MBO diagnosis and treatment, formulate balance the ideal and the reality of MBO diagnostic standard, in order to solve the main contradiction, improve the quality of life as the guidance of treatment goals, fully listen to the opinions of the patient and family, and positive and effective comprehensive treatment can significantly improve the quality of life in patients with tumor and prolong survival time.

Key words： Tumor Malignant intestinal obstruction Comprehensive treatment

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http://182.92.200.144/EN/10.16689/j.cnki.cn11－9349/r.2019.04.006 OR http://182.92.200.144/EN/Y2019/V6/I4/421

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