摘要
目的 总结老年人急性肠梗阻的临床特点。 方法 回顾性分析我院 1992年 10月至 2 0 0 1年 10月经手术治疗 183例老年急性肠梗阻患者的临床资料。 结果 183例经手术治疗老年人急性肠梗阻中 ,嵌顿性疝占首位 (4 3 2 % )。本组同期收治老年人结肠癌中 ,4 0 6 % (4 3/ 10 6 )以急性肠梗阻为入院始发原因。本组 19例左半结肠癌中 ,手术切除 17例 ,其中 12例行I期吻合 ,2例并发吻合口瘘 (16 7% )。围手术期病死率 3 3% (6 / 183) ,皆因手术过晚所致。 结论 积极有效手术干预 ,可使大多数老年急性肠梗阻患者得到治愈或不同程度缓解。
Objective To summarize the clinical characters of acute intestinal obstruction in elderly patient . Methods A retrospective analysis was performed in 183 cases of elderly patient with acute intestinal obstruction, who were operated on in our hospital between October 1992 and October 2001. Results Of the 183 elderly patients who underwent surgical operation, 43.2% was due to strangulated hernia, being a leading cause of the intestinal obstruction in the elderly people. The incidence of colon cancer increased in the elderly. In the same period of this retrospective study, 43 out of 106 elderly inpatients 40.6% (43/106) with colon cancer were admitted to the hospital due to acute intestinal obstruction. Out of the 19 patients with left semicolon cancers, Cancers of 17 cases were surgically removed. Twelve of them were operated on with one stage anastomosis and 2 were complicated with anastomosis fistulas (16.7%). The postoperative fatality rate was 3.3%(6/183), all were died of too late operation. Conclusions The operation intervention is effective in treating acute intestinal obstruction, and is capable of remitting most elderly patient.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2003年第7期395-396,共2页
Chinese Journal of Geriatrics
