摘要
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。
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.
出处
《中国实用医药》
2014年第12期7-8,共2页
China Practical Medicine
关键词
老年性急性肠梗阻
治疗方法
预后
Acute intestinal obstruction in aged patients
Treatment methods
Prognosis
