中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
12期
7-8
,共2页
老年性急性肠梗阻%治疗方法%预后
老年性急性腸梗阻%治療方法%預後
노년성급성장경조%치료방법%예후
Acute intestinal obstruction in aged patients%Treatment methods%Prognosis
目的：探讨老年急性肠梗阻的病因特点、治疗方法及预后。方法回顾收治的980例老年急性肠梗阻患者的临床资料。结果保守治疗治愈21例，均为粘连性肠梗阻；手术治疗55例，粘连性肠梗阻4例，肠道肿瘤32例，嵌顿疝15例，肠扭转2例，麻痹性肠梗阻2例。治愈、好转74例，术后切口感染6例，吻合口瘘1例，肺感染7例，死亡2例。结论肠粘连、肠道恶性肿瘤、嵌顿疝为老年人肠梗阻主要病因，根据病因选择针对性的治疗方法，把握手术时机，选择正确的手术术式是保证治疗效果的关键。
目的：探討老年急性腸梗阻的病因特點、治療方法及預後。方法迴顧收治的980例老年急性腸梗阻患者的臨床資料。結果保守治療治愈21例，均為粘連性腸梗阻；手術治療55例，粘連性腸梗阻4例，腸道腫瘤32例，嵌頓疝15例，腸扭轉2例，痳痺性腸梗阻2例。治愈、好轉74例，術後切口感染6例，吻閤口瘺1例，肺感染7例，死亡2例。結論腸粘連、腸道噁性腫瘤、嵌頓疝為老年人腸梗阻主要病因，根據病因選擇針對性的治療方法，把握手術時機，選擇正確的手術術式是保證治療效果的關鍵。
목적：탐토노년급성장경조적병인특점、치료방법급예후。방법회고수치적980례노년급성장경조환자적림상자료。결과보수치료치유21례，균위점련성장경조；수술치료55례，점련성장경조4례，장도종류32례，감돈산15례，장뉴전2례，마비성장경조2례。치유、호전74례，술후절구감염6례，문합구루1례，폐감염7례，사망2례。결론장점련、장도악성종류、감돈산위노년인장경조주요병인，근거병인선택침대성적치료방법，파악수술시궤，선택정학적수술술식시보증치료효과적관건。
Objective To explore the etiology, treatment methods and prognosis of acute intestinal obstruction in aged patients. Methods The clinical data of 980 cases of acute intestinal obstruction in aged patients was retrospectively analyzed. Results 21 cases were cured by conservative, as adhesive intestinal obstruction; operation treatment of 55 cases, 4cases of adhesive intestinal obstruction, 32 cases of intestinal cancer, strangulated hernia in 15 cases, 2 cases of volvulus, 2 cases of paralytic intestinal obstruction. Cured, 74 cases improved, 6 cases of postoperative wound infection, anastomotic fistula in 1 case, 7 cases of pulmonary infection, 2 cases of death. Conclusion Intestinal adhesion, intestinal malignant tumor, strangulated hernia are main causes of intestinal obstruction in aged patients, according to the cause of choosing targeted therapies, grasp the operation time, operation type correct selection are the keys to guarantee treatment effect.
