How simple diagnosis and strangulating intestinal obstruction

Identification of the two is very important,Because the two obstruction in their choice of treatment and prognosis are completely different. Adhesion-induced intestinal obstruction simple, non-surgical treatment should be the first choice. Strangulating intestinal obstruction there is a blood supply obstacles, intestinal necrosis have occurred at any time, the possibility of peritonitis, surgical treatment should be immediately adopted. Simple and strangulating intestinal obstruction in the differential diagnosis of the existence of certain difficulties sometimes, when any of the following performance, should consider the strangulating intestinal obstruction possible.
(1) more acute onset, may have been secondary to the simple presence of intestinal obstruction.
(3) Multi early by a fast pulse, low blood pressure or shock, poor narrow pulse pressure, body temperature increased.
(4) strained abdominal muscle lesion site, tenderness and fixed- .
(5) for the bloody vomit blood from the anus or liquid.
(6) Abdominal have effusion, can puncture hemorrhagic liquid.
(7), as positive non-surgical treatment, no significant improvement of symptoms.
Clinical early strangulating intestinal obstruction preoperative misdiagnosed as simple obstruction are not uncommon. We think that if we can not rule out strangulating intestinal obstruction, should actively carry out surgical exploration.