44例老年肠梗阻患者手术治疗分析  

Outcome of surgical treatment in 44 elderly patients with intestinal obstruction

作　　者：孙雪峰[1] 孙杰[1] 

机构地区：[1]安徽省阜阳市人民医院普外科,236000

出　　处：《中华全科医学》2014年第4期573-575,共3页Chinese Journal of General Practice

摘　　要：目的总结阜阳市人民医院44例老年肠梗阻患者手术治疗的经验。方法回顾性分析2012年1月—2013年10月间手术治疗的44例合并有一种或多种内科疾病的老年肠梗阻资料。结果老年人肠梗阻病因中肿瘤发病率最高,共有17例(38.7%);其次为肠粘连及肠扭转,分别为12例(27.3%)及9例(20.5%)。44例患者无术中死亡病例,术后于重症监护室治疗者6例,术后因心肌梗死死亡者1例,因病情加重自动出院者2例,余41例治愈出院,总治愈率达93.2%。术后并发肺部感染者18例(40.9%),切口感染者6例(13.6%),切口裂开1例(2.3%)。结论老年性肠梗阻患者病情复杂,合并症多,应做好围手术期处理,存在手术指征时积极手术治疗,采取个体化的合理有效的手术方式,可以获得满意疗效,延长患者生命。Objective To summarize the experience of surgical treatment in 44 elderly patients with intestinal obstruction. Methods The clinical data of 44 elderly patients with intestinal obstruction and other internal diseases undergoing surgi- cal treatment in our hospital from January 2012 to October 2013 were analyzed retrospectively. Results The major cause of elderly intestinal obstruction was tumor obstruction （ 17 cases, 38.7 % ）, followed by adhesion （ 12 cases, 27.3 % ） and volvulus （9 cases, 20.5 % ）. All 44 patients got through surgery successfully. After surgery, six patients were transferred to intensive care unit, one case died from myocardial infarction, and two cases left hospital for the worse condition. 41 pa- tients discharged from hospital with recovery and a total cure rate of 93.2%. The postoperative complications included 18 cases （40.9%） of pulmonary infection, 6 cases （13.6%） of incision infection, and 1 case （2.3%） of incision dehis- cence. Conclusion Causes of elderly intestinal obstruction are more complex, usually with more complications, proper perioperative period management is imperative. Furthermore, a satisfactory effect and a longer survive period can be got if select suitable surgical approach when exist surgical indication.

关 键 词：高龄 肠梗阻 手术 

分 类 号：R574.2[医药卫生—消化系统]