摘要
目的总结无腹部手术史肠梗阻的发病原因,以提高对本病的认识与治愈率。方法对102例无腹部手术史肠梗阻的病因进行回顾分析和探讨。结果在无腹部手术史的肠梗阻患者中,肿瘤及粪石、粪块积聚堵塞比例明显增高(前者占66.7%,后者占14.7%),而其它原因肠梗阻患者明显减少(均不超过4%)。这类患者病因诊断在术前常难以明确,故保守治疗时间较长,易造成严重后果。结论通过了解各种肠梗阻的特点、详细询问病史、规范的体格检查、运用合理的辅助检查手段对原因分析有一定的帮助。治疗中对有手术指征者应及时手术,以减少肠坏死及各种并发症发生。
Objective To summarize the history of abdominal operation for intestinal obstruction causes, in order to enhance understanding of the disease and cure rate. Methods 102 cases of abdominal operation history of intestinal obstruction were retrospectively analyzed and discussed. Results in the absence of a history of abdominal operation patients with bowel obstruction, tumor and bezoar, fecal accumulation blockage ratio was significantly increased （the former accounted for 66.7%, which accounted for 14.7% of the total）, and other causes of intestinal obstruction patients decreased significantly （less than 4%）. This kind of patients in preoperative diagnosis is often difficult to clear, so the conservative treatment for a longer period of time, easy to cause serious consequences. Conclusion Through the understanding of the various characteristic of intestinal obstruction, a detailed history, physical examination, standard and reasonable use auxiliary examination by means of analysis of the causes of some help. Treatment on patients with operation indications should be timely operation, to reduce intestinal necrosis and complications.
出处
《当代医学》
2012年第25期22-23,共2页
Contemporary Medicine
关键词
肠梗阻
腹部手术
病因分析
Bowel obstruction
Abdominal operation
Analysis of the causes
