摘要
目的 探讨手术后急性结肠假性梗阻的临床特征和诊治方法。方法 回顾性分析1990～2001年手术后急性结肠假性梗阻21例的病因、诊断和治疗。结果 治愈18例,其中非手术治愈12例,手术治愈6例;死亡3例。术后并发腹部切口裂开8例,盲肠缺血坏死1例。结论 高龄、心肺功能不全等是导致本病发生的主要原因,手术期及围手术期积极治疗伴发病是预防本病发生的有效措施,并发症和伴发病是造成本病死亡的主要原因。
Objective To explore clinical diagnosis and treatment for postoperative acute pseudoobstruction of the colon.Methods The cause of disease, diagnosis and treatment were analysed in 21 patients with postoperative acute pseudoobstruction of the colon from 1900 to 2001 retrospectively. Results 18 cases were cured including 12 cases were treated by non- operation and 6 cases by operation.3 cases died.The common complication included,belly cuts were splited in 8 cases, 1 cases was caecum ischemia necrosis. Conclusion The major causes leading to this disease are advanced age of patients, cardiac and pulmonary dysfunction and so on. The effective measure to prevent this disease occurring is to treat concomitant disease actively in operation term and perioperative period. Complication and concomitant disease are the major causes resulting in death.
出处
《疑难病杂志》
CAS
2002年第3期144-145,共2页
Chinese Journal of Difficult and Complicated Cases
关键词
结肠假性梗阻
急性
手术后
Pseudoobstruction of the colon,acute
Postoperation
