老年人肠梗阻192例临床分析  

Clinical analysis of 192 cases of senile intestinal obstruction

作　　者：孙隆昌 

机构地区：[1]商丘市长征人民医院普外科,河南省商丘476000

出　　处：《中国基层医药》2013年第23期3602-3603,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨老年人肠梗阻的诊治方法。方法回顾性分析192例老年肠梗阻患者的临床资料。结果192例患者病因：肿瘤性梗阻110例（57．3％）、粘连性梗阻44例（22．9％）；手术治疗150例（78．1％）、非手术治疗42例（22．9％）；治愈176例（91．7％）、死亡16例（8．3％）。结论老年人肠梗阻以肿瘤性梗阻为首位，合并症多，做好早期诊断，选择合理的治疗方法，加强围手术期处理是提高疗效的关键。Objective To explore the diagnosis and treatment of senile intestinal obstruction. Methods The clinical data of 192 elderly patients with intestinal obstruction were retrospeetively analyzed. Results Of the 192 ca- ses, 110 cases were tumors obstuction（5？. 3% ） ,44 cases were adhesive intestinal obstruction （ 22.9% ）. 150 cases were treated by opertion （ 78. 1% ）, 42 eases received non-operation therapy （ 22. 9% ）. 176 cases were cured （91.7% ）, 16 cases died （ 8.3 % ）. Conclusion Tumor obstruction is the main cause of elderly patients with intesti- nal obstruction, and has mamy coexisting diseases. Early diagnosis, appropriate treatment methods and strengthening perioperative management are important to improve the curative effect.

关 键 词：肠梗阻 老年人 

分 类 号：R656.7[医药卫生—外科学]