肠梗阻急诊手术84例临床分析

Clinic Analysis of 84 Cases of Ileus Patients Given Emergency Operation

目的总结84例肠梗阻急诊手术指征及术中,术后处理。方法回顾分析1994～2003年收治的316例肠梗阻病人的病历资料,其中84例为肠梗阻急诊手术。结果316例梗阻病人,非手术治疗232例,占73%;急诊手术84例,占26%,其中手术后肠粘连引起的肠梗阻54例,占63%;82例获治愈,好转1例,死亡1例。结论10年间肠梗阻病人以粘连性肠梗阻最为常见,肠梗阻手术指征应根据梗阻原因、临床表现及辅助检查等综合判确定。

Objective To summarize the symptoms during-op eration and the post operation treatment of 84cases of ileus patients.Method316cases of ileus patients from 1994to 2003,including of 84cases given e mergency operation were studied retrospectively.Results Among the 316ileus patients,73%of t hem(232cases)were given conservative treatments;26%of them(84cases)were given emergency treatments,in which 63%(54cases)were aroused from intestines conglutination.Among t he 84cases,82cases were cured,one c ase became better and one case was dead.Conclusions Intestine conglutination is the chi ef reason for ileus in the past ten yea rs.The decision operation should be evaluated based on the causes of ileu s,clinical symptoms and assistant c heck-up.