摘要
目的总结13年来肠梗阻的诊治经验及体会,探讨肠梗阻的病因及治疗措施。方法回顾性分析本院外科1994年1月～2006年12月156例肠梗阻病例的诊治经过。结果病因明确128例(占82.05%),原因不明28例(占17.95%);非手术治疗25例(占16.03%),手术治疗131例(占83.97%),术后并发症11例(占7.05%);死亡1例(占0.64%)。结论粘连、肿瘤、疝分列为肠梗阻病因的前三位,分别占36.54%、27.56%、10.90%。13年间肠梗阻以粘连性肠梗阻、肿瘤性肠梗阻最常见。粘连性肠梗阻中85%为手术所致,肿瘤性肠梗阻临床表现有一定特点。肠梗阻的手术指征应根据临床表现、辅助检查资料综合判定;而早期诊断、积极合理的综合治疗能够降低病死率。
Objective To summarize our experience in the diagnosis and treatment of intestinal obstruction and investigate the etiology and treatment of intestinal obstruction from Jan 1994 to Dec 2005. Methods The clinical data of 156 cases of intestinal obstruction were analyzed from Jan 1994 to Dec 2006 in Yaoan People＇s Hospital. Results The causes were clear in 128 cases （82.05%）,unclear in 28 cases（17.95%）, nonoperative management was done in 25 cases（16.03%）, and operative management in 131 cases（83.97%）, postoperative complications occurred in 11 cases（7.05%）. A patient of the death（0.64%）. Conclusion Adhesion, tumors and hernia were the most common causes,which accounted for 36.54%, 27.56% and 10.90% respectively. Adhesive intestinal obstruction and intestinal malignant tumors are the most common types of intestinal obstruction. Among the adhesive intestinal cases, 85 percent were due to operation. The symptoms and signs of intestinal malignant obstruction are different from adhesive intestional obstruction. The indication of emergence operation depends upon clinical manifestation,examination,especially abdominal pain to judge, early diagnosis and appropriate therapy can reduce the morbidity and mortality.
出处
《中国现代医生》
2008年第14期47-48,共2页
China Modern Doctor
关键词
肠梗阻
病因
诊断
综合疗法
Intestinal obstruction
Etiology factor
Diagnosis
Combined modality therapy
