老年急性肠梗阻66例临床分析

Clinical analysis of 66 senile patients with acute intestinal obstructiion

目的:探讨老年急性肠梗阻的诊断和治疗。方法:回顾分析60岁以上老年急性肠梗阻66例患者资料。结果:粘连性肠梗阻31例(46.9%),肿瘤所致肠梗阻15例(22.7%),胆石性肠梗阻2例(3.0%),疝嵌顿引起肠梗阻8例(12.1%),肠系膜栓塞引起肠梗阻1例(1.5%),粪石性梗阻9例(13.8%)。非手术治疗39例(59.1%),急诊手术治疗27例(40.9%)。手术死亡2例(3.0%),非手术死亡2例(3.0%)。结论:老年急性肠梗阻以粘连性和肿瘤多见,高龄患者合并症多,及时诊断、合理治疗、是保证治疗成功的关键。

Objective To discuss the diagnosis and treatment of senile patients with acute intestinal obstruction. Method The data of 66 senile patients with acute intestinal obstruction from Jan, 2006 to Dec. 2008 in our hospital were analyzed retrospectively. Results Thirt- one cases were adhersive intestinal obstruction（46. 9% ） and 15 cases （22. 7% ） subjected to tumor intestinal obstruction. There were 2 cases（3.0% ） with cholelithased intestinal obstruction,8 cases （12.1%） with intestinal obstruction caused by incarcerated hernia and 1 cases （1.5%） caused by mesenteric embolism,9 cases（ 13.8% ） dejecta obstruction. Thirty -nine cases（59. 1% ） underwent nonsurgical treatment and 27 cases（40.9% ） underwent emergency surgical treatment. The operative mortality was 2 cases （3. 0% ） ,nonoperative mortality 2 case（3.0% ）. Conclusion The common factors of senile emergency intestinal obstruction are adhersion and tumor. Because of old - age and so many comorbidities, diagnosis in time and reasonable treatment arc the key to the successful treatment.