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23例高龄大肠癌穿孔致弥漫性腹膜炎的诊治体会

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摘要 目的探讨23例高龄大肠癌穿孔致弥漫性腹膜炎临床特点、治疗经验及体会。方法23例中术前诊断为肠炎11例,便秘性不全肠梗阻7例,阑尾炎并穿孔3例,结肠癌并穿孔2例。通过检查及手术证实为大肠癌穿孔,其中根治性切除术15例,姑息性切除4例。单纯造瘘2例,Ⅱ期姑息切除2例。结果痊愈15例,好转7例,肠瘘及肺内严重感染死亡1例。结论高龄大肠癌具有病程长,误诊率高及病死率高等特点。因此全面仔细的检查,及早确诊及手术治疗。有利于提高治愈率。
作者 王作鑫
出处 《中国医药指南(学术版)》 2008年第11期122-123,共2页 Guide of China Medicine
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