摘要
目的 :提高对急性肠梗阻 (AO)的诊断治疗水平。方法 :回顾分析我院连续 10年AO住院患者 35 4例。其中少儿组、成年组、老年组分别为 33、198、12 3例。结果 :粘连性AO占 5 2 .5 % (186 /35 4) ,其中少儿组占 42 .4% ,成年组占 6 4.6 % ,老年组占35 .8% ,差异有非常显著意义 (P <0 .0 1) ;肿瘤所致AO占 2 5 .4% (90 /35 4) ,其中少儿组 9% ,成年组占 2 1.7% ,老年组占 35 .8% ,差异有非常显著意义 (P <0 .0 1) ;腹外疝所致AO占 13.8% (4 9/35 4) ,其中少儿组占 2 7.2 % ,成年组占 7.5 % ,老年组占 2 0 .3% ,差异有非常显著意义 (P <0 .0 1)。术后并发症发生率 2 1.1% (4 9/2 32 )、病死率 11.3% (2 6 /2 32 )。结论 :AO的主要病因为粘连 ,肿瘤 ,腹外疝。
Objective:To improve diagnosis and treatment of acute intestinal obstruction.Methods:354 cases of AO from Jan. 1991 to Dec.2000 were analyzed retrospectively. There were 33 ,198,123 cases in child group (<16), adult group (16-60) and aged group (>60), respectively.Results:AO caused by adhesion,tumor,hernias were 42.5%(14/33),9%(3/33) and 27.2%(9/33) , respectively in child group;64.6%(128/198),21.7%(43/198) and 7.5%(15/198) , respectively in adult group;35.8%(44/123) ,35.8%(44/123) and 20.3%(25/123), respectively in aged group ( all P<0.01). The postoperative complication rate and mortality rate were 21.1%(49/232) and 11.3%(26/232).Conclusion:The major causes of AO are adhesion , tumor and hernias, early diagnosis and treatment are important.
出处
《西北国防医学杂志》
CAS
2002年第4期268-270,共3页
Medical Journal of National Defending Forces in Northwest China
关键词
急性肠梗阻
诊断
治疗
分析
Acute intestinal obstruction
Diagnosis
Treatment
Analysis
