结肠粪性及自发性穿孔28例临床探讨  

Clinical study on 28 cases of stercoral perforation of colon and spontaneous rupture of colon

作　　者：刘永寿 陈代林 张龙 

机构地区：[1]重庆綦江区中医院普外科,重庆401420

出　　处：《现代医药卫生》2013年第16期2432-2433,2435,共3页Journal of Modern Medicine & Health

摘　　要：目的探讨结肠粪性穿孔(SPC)及自发性穿孔(SRC)的病因、诊断及治疗。方法分析28例SPC及SRC患者临床资料。结果 28例患者经手术探查明确均为结肠穿孔,其中21例为SPC,7例为SRC。治愈24例,死亡4例,死亡率为14.3%。结论患者发病与便秘、腹内压增加及解剖因素有关,但缺乏特异的临床表现和体征,提高术前诊断的准确率在于对该病的充分认识,治疗成功的关键在于结合患者的全身情况选择合适的手术和治疗方案。Objective To investigate the cause,diagnosis and treatment of stercoral perforation of colon（SPC） and spontaneous rupture of colon（SRC）.Methods Clinical data of 28 cases of SPC and SRC were analyzed.Results Among 28 cases of diagnosed colonic perforation by surgery,21 cases were SPC and the other 7 cases were SRC.24 cases were cured and the other 4 cases died with the mortality rate of 14.3%.Conclusion Patients′ morbidity is associated with constipation,abdominal pressure and anatomical factors,but lacking of specific clinical manifestations and symptoms.Improving the accuracy of the preoperative diagnosis is to fully understand the disease;the key of treatment success lies in the combination of the patient′s general condition to select appropriate surgical and treatment programs.

关 键 词：肠穿孔 病因学 肠穿孔 诊断 肠穿孔 外科学 结肠疾病 粪性 自发性 

分 类 号：R656.9[医药卫生—外科学]