老年人自发性乙状结肠穿孔的临床诊治分析  

THE PREVENTION AND CURE OF SPONTANEOUS PERFORATION OF SIGMOID COLON WHEN THE ELDERLY ARE CONSTIPATED

作　　者：王明泽[1] 王淼[1] 

机构地区：[1]山东省青岛市第八人民医院,266100

出　　处：《中国煤炭工业医学杂志》2014年第1期61-63,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨老年人便秘引起乙状结肠穿孔的防治方法及影响治愈的可能因素。方法回顾分析2001年6月—2011年12月我院收治11例老年人便秘导致乙状结肠穿孔的临床资料。均行Hartman手术治疗,分析影响治疗效果的可能因素。结果治愈5例,死亡6例,死亡患者平均年龄、便秘史时间及发病至就诊平均时间均明显高于治愈患者。结论老年人便秘所致的乙状结肠穿孔有较高病死率,早期诊断和及时手术是治愈的关键,有效治疗便秘可避免老年人乙状结肠穿孔。Objective To find out the prevention and cure of spontaneous perforation of sigmoid colon when the elderly constipated. Methods We reviewed 11 medical records of patients who underwent Hartmaan＇s operation due to sterocoral perforation of the sigmoid colon in our hospital during June 2001 to December 2011 retrospectively. Results Among the subjects, 6 patients were cured, and 5 deaths. The onset of patients＇ average age, the time of constipated history and onset to see a doctor were significantly higher than the cure patients. Conclusions The mortality of SPC is high but Hartmann＇s produce is the treatment of choice in most situations. The treatment of the constipation can prevent the perforation of the colon.

关 键 词：乙状结肠穿孔 自发 老年人 便秘 

分 类 号：R656.9[医药卫生—外科学]