摘要
癌性急腹症是由腹腔及腹腔外恶性肿瘤导致、或者各种治疗手段继发的腹部急性病变,它应属于肿瘤急症的范畴。癌性急腹症包括穿孔、肠梗阻、感染和出血等。癌性急腹症大多情况紧急,病情危重,此类患者术后并发症发生率和病死率较高。治疗策略需经多学科团队进行商讨,但往往因形势紧迫难以在临床上实现。手术应该是提高患者生存率、改善生活质量的主要举措,但术前应充分评估死亡风险,以判断手术能否使患者获益;而手术时机的选择大多取决于外科医生。本文从肿瘤外科的角度探讨癌性急腹症的治疗方法。
Malignant acute abdomen is an acute abdominal disease caused by abdominal and extra-abdominal malignant tumors or secondary to various treatments for tumors,and belongs to the category of oncologic emergencies. Malignant acute abdomen includes perforation,bowel obstruction,infection and bleeding,etc.Most of the malignant acute abdomen is urgent and critical.The postoperative morbidity and mortality of these patients are high.The treatment strategy should ideally be discussed by a multidisciplinary team,which is often infeasible in the emergent setting.Surgery should be the main measures to improve survival and quality of life,but the risk of death should be fully evaluated before surgery to determine whether the surgery can benefit patients.In addition,the timing of surgery depends mostly on the surgeon.This article explores the treatment of malignant acute abdomen from the perspective of surgical oncology.
作者
郑宏群
孙凌宇
Zheng Hongqun;Sun Lingyu(Department of Oncology,The Fourth Affiliated Hospital of Harbin Medical University,Haerbin 154000,China)
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2018年第11期1206-1211,共6页
Chinese Journal of Gastrointestinal Surgery
关键词
癌性急腹症
多学科团队
肿瘤外科
Malignant acute abdomen
Muhidisciplinary team
Surgical oncology
