👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 01：腸阻塞手術

👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 01：腸阻塞手術 Dr. BOSS’s General Surgery Health Classroom｜Episode 01: Bowel Obstruction Surgery 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 腸阻塞：阻礙通道的腸道問題 👨‍⚕️ Dr. BOSS × 🐨 Koala | Bowel Obstruction: When the Intestinal Passage is Blocked --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，腸阻塞是什麼？為什麼會需要手術呢？ Doctor BOSS, what is a bowel obstruction, and why would surgery be needed? BOSS 醫生： 腸阻塞是指腸道內容物無法順利通過，有些是部分阻塞，有些是完全阻塞。若保守治療無效或有壞死、穿孔風險，就需要手術解除阻塞。 Bowel obstruction occurs when contents in the intestines cannot pass smoothly. It can be partial or complete. If conservative treatment fails or there is risk of tissue death or perforation, surgery is required to relieve the blockage. Koala： 通常阻塞會出現哪些症狀呢？ What symptoms usually appear with a blockage? BOSS 醫生： 常見症狀包括腹痛、腹脹、嘔吐、排氣排便減少或停止。嚴重時會出現脫水或電解質異常。 Common symptoms include abdominal pain, bloating, vomiting, and reduced or stopped bowel movements. Severe cases may lead to dehydration or electrolyte imbalances. --- 🟦 術前準備 Preoperative Preparation（中英對照） 飲食控制 / Dietary restrictions 手術前需禁食，避免腸道負擔，必要時進行腸道清潔。 Patients must fast before surgery to reduce bowel load; bowel cleansing may be required. 健康檢查 / Health assessment 包含血液、影像檢查、心肺功能評估，確認手術風險。 Includes blood tests, imaging studies, and cardiopulmonary assessment to evaluate surgical risk. 心理準備 / Mental preparation 了解手術流程與術後復原，減少焦慮。 Understanding the procedure and recovery helps reduce anxiety. --- 🟦 手術方式 Surgery Methods（中英對照） 開腹手術 / Open surgery 適用於嚴重阻塞或併發症，直接切開腹腔解除阻塞。 Used for severe obstruction or complications, directly opening the abdomen to relieve blockage. 微創腹腔鏡 / Laparoscopic surgery 小切口，透過鏡檢修復阻塞，恢復較快。 Small incision with camera-assisted repair; faster recovery. 手術目標 / Goals of surgery 移除阻塞物、切除壞死腸段、恢復腸道通暢。 Remove blockage, excise necrotic bowel if present, restore intestinal passage. --- 🟦 術後照護 Postoperative Care（中英對照） 飲食管理 / Diet management 初期以液體或半流質為主，逐步過渡至普通飲食。 Start with liquids or soft foods, gradually advancing to regular diet. 活動與復健 / Activity & rehabilitation 早期下床走動，促進腸蠕動與恢復。 Early ambulation promotes bowel movement and recovery. 傷口與症狀觀察 / Wound & symptom observation 留意紅腫、滲液、發燒或腹痛。 Watch for redness, discharge, fever, or abdominal pain. 長期追蹤 / Long-term follow-up 定期追蹤腸道功能與影像檢查，預防再次阻塞。 Regular follow-up to monitor bowel function and prevent recurrence. --- 🟦 小知識 Mini Note（中英對照） Koala： 腸阻塞手術後腸道還會像以前一樣嗎？ Will the intestines function like before after bowel obstruction surgery? BOSS 醫生： 多數患者腸道功能可以恢復，但需配合飲食控制與生活習慣，避免再次阻塞。 Most patients regain intestinal function, but diet and lifestyle management are important to prevent recurrence. --- 🟦 小貼士 Quick Tip 中文：手術後逐步恢復飲食，多喝水，少量多餐，保持活動量，有助腸道復原。 English: Gradually resume diet after surgery, drink plenty of water, eat smaller meals frequently, stay active—this helps intestinal recovery.