49例老年结肠癌并发急性梗阻的临床诊治分析

目的探讨老年结肠癌并发急性梗阻的诊断及治疗方法。方法回顾性分析我院2009年1月至2010年4月收治的49例结肠癌并发急性肠梗阻的患者资料,总结其临床诊断方法及治疗手段。结果 49例患者中,治愈45例(91.84%),围手术期共死亡4例,死亡原因包括原有心肌疾病复发1例,肺部感染1例,多脏器功能衰竭2例。结论对老年结肠癌并发急性肠梗阻的患者,需要医生进行早期准确诊断,根据患者的实际情况选择合适的治疗方法,提高治愈率,减少并发症的发生,降低死亡率。

Objective Acute obstruction in elderly colon cancer diagnosis and treatment.Methods Retrospective analysis of our hospital in January 2009 to April 2010 49 patients admitted to acute intestinal obstruction in patients with colon cancer data,summarize the clinical diagnosis and treatment.Results 49 patients were cured 45 patients （91.84%）, perioperative total of 4 deaths,causes of death include the original cardiac disease recurrence in 1 case,pulmonary infection in 1,multiple organ failure in 2 cases.Conclusion Acute intestinal obstruction in elderly patients with colon cancer,dectors are required for early and accurate diagnosis,according to the actual situation of patients to choose the right treatment,to improve the cure rate and reduce complications and reduce mortality.