老年粪石性肠梗阻非手术治疗临床分析  

Clinical Analysis of Non-operative Treatment for Elderly Patients with Stercoral Obstruction of Colon

作　　者：苏军凯[1] 张鸣青[1] 王爱民[1] 马桂芳[1] 李仙丽[1] 杨青苹[1] 

机构地区：[1]解放军第175医院消化内科,福建漳州363000

出　　处：《临床军医杂志》2009年第1期51-53,共3页Clinical Journal of Medical Officers

摘　　要：目的探讨老年性粪石性结肠梗阻高位灌肠等非手术治疗的安全性和疗效。方法回顾性分析29例老年性粪石性结肠梗阻患者的临床资料。结果患者以结肠治疗机高位灌肠及奥曲肽静脉维持为主,非手术治疗治愈27例;转外科手术2例。无一例发生肠道穿孔、死亡。结论以结肠治疗机高位灌肠及奥曲肽静脉维持治疗老年性粪石性结肠梗阻,安全性高、疗效满意。老年性粪石性结肠梗阻往往病情危重,易误诊,故早期诊断、及时处理、把握手术时机是提高本病治疗疗效的关键。Objective To investigate the clinical feature and treatment of stercoral obstruction of colon in elderly patients. Methods Twenty-nine elderly patients with stercoral obstruction of colon were analyzed retrospectively on the basis of clinical data. Results Twenty-seven patients were cured with colonic clyster and intravenous drip of octreotide acetate. The Other two had to turn to surgical operation after colonic infusion. No one died of stercoral obstruction. Conclusion Conservative therapy, including colonic clyster and intravenous drip of octreotide acetate, is effective on most of the elderly with stercoral obstruction of colon. The key is to diagnose and treat it early, and to grasp the opportunity of surgical operation.

关 键 词：老年 粪石性结肠梗阻 结肠治疗机 高位灌肠 奥曲肽 

分 类 号：R574.2[医药卫生—消化系统]