老年急性肠梗阻120例临床特点及治疗

The Clinical Features and Treatment of 120 Cases Acute Intestinal Obstruetion in Elderly

目的:分析老年急性肠梗阻的临床特点和治疗情况,探讨提高疗效、降低死亡率的有效治疗措施。方法:选取我院自2006年1月至2011年6月收治入院的120例60岁以上患者的临床资料,主要包括临床特点、病因和治疗方法。所有患者经手术证实为急性肠梗阻。结果:老年肠梗阻的病因中,肠道肿瘤发病率最高,其次是肠粘连,再次是腹外疝。120例患者中绞窄性肠梗阻者27例,术后并发症者23例,死亡5例。结论:明确老年肠梗阻的主要病因,有助于正确的评估及准备手术方式,加强围手术期处理,及时诊治老年人合并疾病,有效减低老年患者术后死亡率。

Objective： In order to find out the effective method for improving the effect,decreas the mortality.We analyzed the clinical features and treatment of acute intestinal obstruction in elderly.Method： All 120 cases data,the clinical features etiology and treatment were reviewed from Jan.2006 to Jun.2011.Result： The etiology of acute intestinal obstruction in elderly was intestinal tumor,intestinal adhesion and abdominal external hernia in sequence.In all 120 cases,27 cases was strangulated intestinal obstruction.23 cases with conplications after operation,5 cases were dead.Conclusion：It＇s helpful to evaluate and prepare for the operation with the clear etiology for the disease.In order to decrease the mortality after surgery,We＇d better pay attention to the management of operation and the complication.