老年人大肠癌致肠梗阻临床分析

Clinical Analysis of 65 Elderly Patients with Bowel Obstruction Caused by Large Intestinal Cancer

统计本院10年间住院的老年人肠梗阻585例．其中大肠癌导致肠梗阻65例占11．1％。对老年人癌性梗阻、老年群体特点、病理分型、临床表现、内科并存病、诊断要点、治疗选择、环境因素影响、合理的检查手段及手术时机的掌握等进行全面临床分析。结果提示：对老年人肠道疾病．尤其出现肠道梗阻症状时，首先应考虑为大肠癌，一旦确诊应积极切除原发病灶．减轻瘤负荷以延长患者的寿命，提高生存质量，为放、化疗打下基础。

585 hospitalized elderly patients with bowel obstruction were studied during 1987 to 1996. Of them,65 cases of bowel obstruction were caused by large intcstinal cancer, accounting for 11 %. The pathological classification, clinical manifcstations, internal complications. the diagnostic points. the selection of the treatment and environmental factors were summarized. The diseased conditions of cancer obstruction were estimated. and rational examination and surgical opportunities were clinically analyzed. It was suggested that the elderly intestinal diseases, especially having the symptoms of intestinal obstruction, should be firstly considered to be large intestinal cancer, and the original foci is required to remove so as to inducc the tumor load.