自发性结肠破裂2例的诊治体会  

Diagnosis and treatment for spontaneous rupture of the colon:A report of 21 Cases

作　　者：冯广革[1] 王昌波[1] 朱智军[1] 陈忠彪[1] 

机构地区：[1]广西医科大学第六附属医院普外科,广西玉林537000

出　　处：《黑龙江医药科学》2012年第3期40-41,共2页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探讨自发性结肠破裂的诊断和治疗问题。方法:回顾性分析21例自发性结肠破裂的临床资料。结果:男12例,女9例,平均年龄63.2岁。自发性结肠破裂病情急、重,多数患者超过50岁,且并存病多。术前确诊5例,误诊16例。21例均行手术治疗,治愈17例(80.9%),死亡4例(19.1%)。结论:自发性结肠破裂易于误诊,术前确诊率低,其原因是:对该病认识与警惕不足;该病缺乏特有症状。本病早期诊断和及时手术处理非常重要。正确处理合并症和适当的术式是救治自发性结肠破裂的关键。Objective.To study the diagnosis and treatment for spontaneous rupture of the colon. Methods. The clinical data of 21 patients for spontaneous rupture of the colon were analyzed retrospectively. Results.10 males, 6 females, average age of 63.2. Spontaneous rupture of the colon were emergent and critical, most of the patients were over 50 years old and had other diseases. 5 patients were diagnosed and 16 patients misdiag- nosed preoperatively. Operations were performed on all 21 cases, with 17 cured（80. 9%） and 4 dead（19.1%）. Conclusion. Spontaneous rupture of the colon is easy to be misdiagnosed preoperatively. The causes of misdiag- nose include. （1）Lack of the knowledge of the disease; （2）Lack of special symptoms of the disease. Early diag- nosis and timely operation for this disease are very important. Correct handling of complications and appropriate operation are essential for spontaneous rupture of the colon.

关 键 词：破裂 大肠 诊断 自发性/结肠破裂 

分 类 号：R574.62[医药卫生—消化系统]