急性肠梗阻病因及手术时机探讨  

作　　者：严强[1] 全主见 孙维华[1] 周波[1] 赵利辉[1] 

机构地区：[1]湖南省怀化市第二人民医院普外科,418000

出　　处：《当代医学》2009年第18期103-104,共2页Contemporary Medicine

摘　　要：目的探讨急性肠梗阻的发病原因及手术时机。方法回顾性分析怀化市第二人民医院2004年7月～2009年2月入院治疗的162例急性肠梗阻患者的临床资料。结果粘连性肠梗阻占42.6%;恶性肿瘤性肠梗阻占32.1%;嵌顿疝性肠梗阻占10.6%;其他14.7%。3例因手术后多器官功能衰竭死亡,8例放弃治疗出院,5例好转出院,其余的146例均治愈出院。结论粘连和恶性肿瘤性肠梗阻是位居前两位的肠梗阻类型,采取一些措施以降低腹部手术后肠粘连的发生率是有必要的。单纯性肠梗阻发展为绞窄性肠梗阻死亡率会急剧上升,加强病因分析、选择合适的手术时机是降低肠梗阻死亡率的关键。绞窄性肠梗阻不是肠梗阻手术治疗的唯一适应证,当急性肠梗阻保守治疗72h仍无效,应积极手术,早期及时手术处理是最有效的治疗手段。Objective To discuss the etiology and operating occasion of acute intestine obstruction. Methods Analyzing clinic data of 162 sufferers of acute intestine obstruction in our hospital from April,2004 to February,2009. Results In all suffers, Adhesive intestine obstruction,42.6%; Tumor,32.1%; Incarcerated hernia, 10.6%; others, 14.7%. Three patients died because of MODS. Five patients giving up tretment. The condition of eight patients improving. And others 146 patients were healed. Conclusion Adhesive intestine obstruction and tumor are common etiologies of acute intestine obstruction. It is necessary to lower the rate of intestine adhesion by some ways. The mortality of strangulating intestine obstruction is higher than Simple intestine obstruction. It is the key to lower mortality by analyzing etiology and electing correct operating occasion. Strangulating intestine obstruction is not only one to do surgical treatment in acute intestine obstruction. It is beneficial to do operating in acute intestine obstruction, when the drug treatment is noneffective within 72 hours.

关 键 词：肠梗阻 手术时机 病因 

分 类 号：R656.7[医药卫生—外科学]