摘要
[目的]分析老年急性肠梗阻的危险因素并探讨外科治疗特点。[方法]选择2009年1月至2011年12月在我院接受治疗的69例老年急性肠梗阻患者为研究对象,对其临床资料做回顾性分析。[结果]患者中39例肠道肿瘤和18例肠粘连,分别占老年急性肠梗阻患者主要病因的56.52%和26.09%;54例(78.26%)合并基础性疾病,其中14例伴有两种以上的基础性疾病。患者病程(从感觉到疼痛等症状到就医确诊的时间)8h～13d。患者中42例(60.87%)手术时出现耐受力问题(出现严重负氮平衡、水、电解质失衡或酸碱失调、非正常血压等);4例(5.80%)死亡;15例(21.74%)有并发症。[结论]老年急性肠梗阻的危险因素包括患者合并严重基础性疾病、就诊不及时和手术耐受能力下降等;及早诊断、及早治疗,选择合适的手术时机、方式并加强围手术期治疗,可降低手术病死率及并发症的发生。
[Objective] To analyze the risk factors and surgical treatment in acute intestinal obstruction in aged.[Methods] The 69 elderly patients with acute intestinal obstruction from January 2009 to December 2011 were selected as the research objects and clinical data were analyzed retrospectively.[Results] Intestinal tumour（56.5%） and intestinal adhesion（26.1%） were the main causes for acute intestinal obstruction in aged;Complicated serious basic disease,delayed adminission and poor operation tolerance were risk factors in acute intestinal obstruction in aged;15 cases（21.7%） were accompanied with compications and 4 cases（5.80%） died.[Conclusion] The risk factors in acute intestinal obstruction in aged were a history of serious basic disease,delayed adminission and poor operation tolerance.Early diagnosis and treatment,selecting properly operative time and approach and strengthening perioperative nursing may reduce operative mortality and complications.
出处
《浙江中医药大学学报》
CAS
2012年第10期1097-1098,共2页
Journal of Zhejiang Chinese Medical University
关键词
急性肠梗阻
老年
危险因素
外科治疗
acute intestinal obstruction
aged
risk factors
surgical treatment
