老年患者急性肠梗阻的病因及治疗分析  

Analysis of Etiology and Treatment of Elderly Patients with Acute Intestinal Obstruction

作　　者：张帆[1] 赵燕[1] 

机构地区：[1]自贡市第四人民医院急诊科,四川自贡643000

出　　处：《四川医学》2015年第12期1725-1727,共3页Sichuan Medical Journal

摘　　要：目的探讨老年患者急性肠梗阻的病因以及治疗特点。方法对我院2010年10月至2014年12月共收治的急性肠梗阻且行手术治疗的老年患者进行回顾性分析,观察其一般情况、病因、手术方式、结局。结果入组64例,肿瘤患者25例,占39.06%;据不同病因行相应手术,其中50例治愈,占78.13%,14例发生并发症占21.88%。术后1个月内死亡8人,死亡率12.50%。结论恰当的术前评估、适当的手术时机、正确的手术方式、积极的围手术期处理有助于改善老年急性肠梗阻患者的预后。Objective To investigate the cause of acute intestinal obstruction in elderly patients,and treatment characteristics. Methods From October 2010 to December 2014,treated for acute intestinal obstruction and surgical treatment of elderly patients were retrospectively analyzed,and the general situation,etiology,surgical outcome were observed. Results Enrolled 64 cases,including 25 cases of cancer patients which accounting for 39. 06%; According to corresponding surgery for different causes,50 patients were cured,accounting for 78. 13%,14 cases having complications accounted for 21. 88%. Within a month after surgery,the death was eight,the mortality rate was 12. 50%. Conclusion The appropriate preoperative evaluation,appropriate timing of surgery,the correct surgical approach,aggressive perioperative management help to improve the prognosis of elderly patients with acute intestinal obstruction.

关 键 词：老年人 急性肠梗阻 病因 治疗 预后 

分 类 号：R574.2[医药卫生—消化系统]