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老年绞窄性肠梗阻的外科治疗 被引量:3

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摘要 目的:探讨老年性绞窄性肠梗阻临床特点、早期诊断及外科治疗。方法:回顾性分析2009年3月~2012年3月我院采用外科手术治疗老年绞窄性肠梗阻30例患者的临床资料。结果:术前确诊绞窄性肠梗阻者仅12例(40%),且多数已肠坏死。所有患者均行外科手术治疗,治愈22例,死亡8例,死亡率为26.7%。死亡原因主要为感染中毒性休克、多脏器衰竭及水电解质酸碱平衡紊乱。结论:老年绞窄性肠梗阻病情复杂严重,早期诊断较困难,死亡率高,应综合临床表现及辅助检查进行分析,尽早明确诊断,及时采取有效的手术治疗,才能提高救治成功率。
作者 李猛
出处 《中国伤残医学》 2014年第2期73-74,共2页 Chinese Journal of Trauma and Disability Medicine
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  • 1Duda JB,Bhatt S,et al.Utility of CT whirl sign in guiding management of small-bowel obstruction[J].AJR Am J Roentgenol,2008,191(3):743-747.
  • 2Yen CH,Chen JD,Tui CM,et al.Internal hernia:computed tomography diagnosis and differentiation from adhesive small bowel obstruction[J].ChinMed Assoc,2005,68(1):21-22.
  • 3Beall DP,Fortman BJ,et al.Imaging bowel obstruction:a comparison between fast magnetic resonance imaging and helical computed tomography[J].Clin Radiol,2002,57(8):719-724.
  • 4Kim MY,Suh CH,et al.Magnetic resonance imaging of bowel ischemia induced by ligation of superior mesenteric artery and vein in a cat model[J].Comput Assist Tomogr,2004,28(2):187-192.
  • 5Iorgulescu A,Iorgulescu R,et al.Laparoscopic surgery for small bowel obstruction[J].Chirurgia (Bucur),2006,101(3):313-318.
  • 6Cartanese C,Lattarulo S,et al.Role of laparoscopy in acute obstruction of the small bowel:personal experience and analysis of the literature[J].Chir Ital,2009,61(1):39-46.
  • 7Galeev YM,Lishmanov YB,et al.Scintigraphic visualization of bacterial translocation in experimental strangulated intestinal obstruction[J].Eur J Nucl Med Mol Imaging,2009,36(11):1822-1828.
  • 8Icoz G,Makay O,et al.Is D-dimer a predictor of strangulated intestinal hernia?[J].World J Surg,2006,30(12):2165-2169.
  • 9Tim J,Lan T Vu,Alexandra E,et al.Predicting strangulated small bowel obstruction:An old problem revisited[J].Gastrointest Surg,2008,13(1):93-99.
  • 10Kim JH,Ha HK,Kim JK,et al.Usefulness of known computed tomography and clinical criteria for diagnosing strangulation in small-bowel obstruction:analysis of true and false interpretation groups in computed tomography.World J Surg,2004,28(1):63-68.

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