摘要
目的 总结 65岁以上 (老年组 )和 14岁以下 (少年组 )肠梗阻病人急诊手术指征及术中、术后处理。方法 回顾分析 1998～ 2 0 0 3年经治的 2 0 2例肠梗阻病人资料 ,72例急诊手术中老年组和少年组共 2 9例。结果 非手术治疗 13 0例 ( 64 3 6% ) ,急诊手术治疗 72例 ( 3 5 64 % ) ,老年组和少年组占急诊手术的 40 2 7%。术后粘连引起的肠梗阻 47例 ( 65 3 0 % )。老年组肿瘤 4例 ( 19 0 5 % ) ,术后死亡 3例 ( 14 2 8% )。结论 4年间肠梗阻以粘连性肠梗阻、肿瘤性肠梗阻最常见。肠梗阻的手术指征应根据临床表现、辅助检查综合评分确定 。
Objective To summarize our experience in the indication of emergency operation and treatment of intestinal obstruction in old (>65 years) and young (<14 years) people.Methods The clinical data of 202 patients with intestinal obstruction from 1998 to 2003 were reviewed retrospectively,72 cases received emergency operation,there were 29 cases in old age group and young age group.Results Nonoperative management was done in 130cases(64 36%),emergency operation was done in 72 cases(35 64%).Old age group and young age group was 40 27% of all emergency operation.Forty seven cases(65 30%)were due to adhesions followed operation,4 cases(19 05%) of neoplasm in old age group,3 cases (14 28%) died after operation.Conclusion The most common causes of intestinal obstruction are adhesions followed operation and neoplasia,the indication of emergency operation depends upon scores summarized by clinical manifestations,examinations,especially abdominal pain.The danger of operation in old people is bigger than that in young and adults.
出处
《中国实用外科杂志》
CSCD
北大核心
2003年第7期419-420,共2页
Chinese Journal of Practical Surgery
关键词
肠梗阻
急诊手术
临床分析
粘连性
Intestinal obstruction Adhension Incarcerated hernia Emergency operation
