急性非肿瘤性结肠穿孔22例分析  

ANALYSIS OF 22 CASES OF ACUTE NON-CANCEROUS PERFORATION OF COLON

作　　者：刘荫华[1] 张环[1] 陈如法[1] 

机构地区：[1]北京大学第一临床医院外科,100034

出　　处：《中国现代医学杂志》2002年第5期11-13,共3页China Journal of Modern Medicine

摘　　要：目的 :提高急性非肿瘤性结肠穿孔的诊治水平。方法 :回顾性分析我院外科 1 978～ 2 0 0 0年 2 2年间收治的急性非肿瘤性结肠穿孔患者 2 2例。结果 :外伤性穿孔 40 .9% (9/ 2 2 ) ;炎症性肠病穿孔 36 .4% (8/ 2 2 ) ;医源性穿孔 9.1 % (2 / 2 2 ) ;缺血性肠穿孔 9.1 % (2 / 2 2 ) ;自发性肠穿孔 4 .5 % (1 / 2 2 ) ;死亡率 4 .5 % (1 / 2 2 )。结论 :急性非肿瘤性结肠穿孔将造成粪性腹膜炎 ,后果严重。根据发病原因 ,加强对此类疾病的认识 。Objective:To improve the diagnosis and surgical managements of acute non-cancerous perforation of colon. Methods:Twenty-two patients with acute non-cancerous perforation of colon admitted to our hospital during last 22 years were clinically analysed retrospectively. Results:Traumatic causes accounted for 40.9%; inflammatory colonic lesions for 36.4%; iatrogenic causes for 9.1%; ischemic causes for 9.1%; spontaneous perforation for 4.5%. The mortality rate was 4.5%. Conclusions:The perforation of colon could result in fecal peritonitis which could cause a severe clinical outcome. Therefore, this disease should be further understood, and the surgical interventions should be performed reasonably on the basis of individual situations so as to decrease the morbidity and mortality.

关 键 词：结肠穿孔 非肿瘤性 诊断 治疗 

分 类 号：R574.62[医药卫生—消化系统]