109例绞窄性肠梗阻临床诊断与治疗  被引量:31

THE CLINICAL DIAGNOSIS AND MANAGEMENT OF STRANGULATING INTESTINAL OBSTRUCTION IN 139 CASES

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作  者:王兰辉[1] 田彦玲[1] 吕晓燕[1] 曹月敏[1] 

机构地区:[1]河北省人民医院普外三科,河北石家庄050051

出  处:《承德医学院学报》2003年第2期106-108,共3页Journal of Chengde Medical University

摘  要:目的 :探讨绞窄性肠梗阻的早期诊断和合理治疗方法。方法 :回顾分析 1988年 1月至 2 0 0 2年 10月收治的 10 9例绞窄性肠梗阻的临床资料。结果 :全组均经手术治疗 ,术前确诊绞窄性肠梗阻 5 6例 (5 1.4 % ) ,腹痛性质、压痛包块、腹水征、肌紧张、腹平片 (或腹透 )、CT和 B超是早期确诊绞窄性肠梗阻的主要依据 ;其余 5 3例 (4 8.6 % )均在剖腹探查时确诊。治愈 10 1例 (92 .7% ) ,死亡 8例 ,死亡率 (7.3% )。主要死亡原因为感染性休克、MOF、ARDS。结论 :绞窄性肠梗阻早期诊断困难 ,应动态观察临床表现和辅助检查 ,正确把握手术时机 ,预防肠坏死发生 。Objective:To investigate the early diagnosis and operative manner of strangulating intestinal obstruction.Methods:The clinical material of 109 patients with strangulating intestinal obstruction from January 1988 to October 2002.Results:All patients were treated by operation,there were only 56 patients(51.4%)were diagnosed at strangulating intestinal obstruction before operation the other 53 patients(48.6%).101 patientswere cured,8dead.The mortality was 7.3%.The main cause of death was septic shock?MOF?ARDS.Conclusion:Early diagnosis of strangulating intestinal obstruction was difficult.Intestine necrosis may be prevented by analysing carefully the clinical features and related examinations.Early operation was the key procedure of decreasing mortality.

关 键 词:绞窄性肠梗阻 手术方式 手术时机 临床诊断 感染性休克 

分 类 号:R574.2[医药卫生—消化系统]

 

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