老年性自发性乙状结肠破裂临床诊治体会  

Experience of diagnosis and treatment of senile spontaneous sigmoid colon rupture

作　　者：蒋忠强[1] 

机构地区：[1]陕西省汉中市宁强县天津医院,陕西汉中724400

出　　处：《临床医学研究与实践》2017年第17期75-76,共2页Clinical Research and Practice

摘　　要：目的探讨老年性自发性乙状结肠破裂的原因、临床特征和治疗方式。方法选择我院2015年1月至2016年1月收治的20例老年自发性乙状结肠破裂者,全面分析患者临床资料,根据检查具体情况,进行有针对性的手术治疗。结果所有患者经手术治疗后,痊愈者11例,有效者6例,死亡3例,治疗总有效率为85.00%。3例死亡患者中,2例患者因感染性中毒休克导致多脏器功能衰竭死亡,1例病患因慢性阻塞性肺部疾病死亡。结论老年性自发性乙状结肠破裂的主要原因为腹腔内压力或肠内压力上升,做好术前诊断工作,对于该疾病的临床治疗来讲意义深远,医生应提升对该疾病的认识程度,在确诊后第一时间为患者进行手术治疗。Objective To explore the causes, clinical features and treatments of senile spontaneous sigmoid colon rupture. Methods Twenty cases of elderly patients with senile spontaneous sigmoid colon rupture in our hospital from January2015 to January 2016 were selected. The clinical data of the patients were comprehensively analyzed, and targeted surgical treatments were taken according to the specific circumstances of the examination. Results After surgery, 11 cases were cured, 6 cases were effective, 3 cases died, and the total effective rate was 85.00%. Of the 3 died patients, 2 patients died of multiple organ failure due to septic shock, and 1 patient died of chronic obstructive pulmonary disease. Conclusion The main reasons of senile spontaneous sigmoid colon rupture in elderly patients are intra-abdominal pressure or enteral pressure rise, good preoperative diagnosis has far-reaching significance for the clinical treatment of the disease. The doctors should enhance the understanding of the disease, and patients should be taken surgical treatment in the first time after the diagnosis.

关 键 词：自发性乙状结肠破裂 老年患者 临床诊断 

分 类 号：R656.9[医药卫生—外科学]