成年人急性肠梗阻150例病因分析  

Acute intestinal obstruction in adult patients

作　　者：孙以开[1] 马向涛[1] 顾晋[1] 杜如昱[1] 

机构地区：[1]北京医科大学人民医院外科,100044

出　　处：《中华普通外科杂志》2000年第3期150-152,共3页Chinese Journal of General Surgery

摘　　要：目的　分析成年人急性肠梗阻的发病原因及诊断与治疗效果。方法　回顾分析自1990年 1月至 1998年 3月手术治疗的急性肠梗阻患者 15 0例 ,其中年龄大于或等于 6 5岁为老年组 78例 (男 43例 ,女 35例 ,男∶女 1 2 3∶1) ,中位年龄 72 2岁 (6 5～ 91岁 ) ;年龄小于 6 5岁为中青年组 72例(男 48例 ,女 2 4例 ,男∶女 2∶1) ,中位年龄 45岁 (19～ 6 4岁 )。结果　老年组中肿瘤患者占 5 9 0 %(46 / 78) ,中青年组占 6 2 5 % (45 / 72 ) ,差异无显著意义 (P >0 0 5 ) ;老年组腹外疝占 2 3 1% (18/ 78) ,中青年组占 4 2 % (3/ 72 ) ,差异有非常显著意义 (P <0 0 0 1) ;老年组肠粘连占 7 7% (6 / 78) ,中青年组占2 2 2 % (16 / 72 ) ,差异有显著意义 (P <0 0 5 ) ;手术病死率老年组为 15 4% (12 / 78) ,中青年组为 8 3%(6 / 72 ) ,差异无显著意义 (P >0 0 5 ) ;术后并发症老年组为 5 3 8% (42 / 78) ,中青年组为 2 6 4% (19/ 72 )差异有非常显著意义 (P <0 0 0 1)。结论　 (1)无论老年组还是中青年组肠梗阻的主要病因均为肿瘤 ;(2 )老年组腹外疝占第 2位 ,中青年组的次要病因为肠粘连 ;(3)年龄并不是手术的禁忌证 ;(4)Objective[WT5”BZ] To analyze the causes and therapeutic effects of acute intestinal obstruction in adult patients.[WT5”HZ] Methods[WT5”BZ] A retrospective analysis of 150 cases of acute intestinal obstruction undergoing surgery from January 1990 to March 1998 was made.Seventy eight patients (aged group) were over 65 years, and 72 middle aged group patients were under 65.[WT5”HZ] Results[WT5”BZ] Obstruction caused by tumors, hernias, adhesions was 59 0%(46/78), 23 1%(18/78), 7 7%(6/78) in aged group, compared with 62 5%(48/72), 4 2%(3/72), 22 2%(16/72) in middle aged group, respectively( P >0 05, P <0 01, P <0 05).[WT5”HZ] Conclusions[WT5”BZ] (1) Tumor was the major cause of obstruction in both groups. (2)The second cause of obstruction in aged group was hernia,whereas in middle age group was adhesion. (3)There was no age related contraindication for surgery. (4)Postoperative complications were much higher in aged group than in middle aged group. [WT5”HZ]

关 键 词：急性肠梗阻 成年人 病因 诊断 治疗 

分 类 号：R656.1[医药卫生—急诊医学]