以急腹症为表现的结肠癌临床诊断及治疗探讨

A Discussion on Clinical Diagnosis and Treatment of Colon Cancer with the Symptom of Acute Abdomen

目的:探讨以急腹症为表现的结肠癌临床诊治经验。方法:对2009年2月～2011年7月我院收治的56例结肠癌致使急腹症的患者资料进行回顾性分析。结果:56例中治愈出院共29例;好转出院共16例;4例伤口感染,5例肺部感染;2例分别在术后1d、4d因中毒性休克经抢救无效死亡。结论:对于结肠癌并发急腹症,做好术前准备工作,选择合理的手术方式及加强术后综合治疗是减少术后并发症及提高患者生存质量的重要保障。

Objective：To discuss the experiences in the clinical diagnosis and treatment of colon cancer with the symptom of acute abdomen.Methods：Took a review analysis on 56 patients with colon cancer caused acute abdomen from February 2009 to July 2011.Results：29 of 56 cases left hospital with recovery;16 cases left hospital with better symptoms;4 cases had wound infection and 5 cases had pulmonary infection;2 cases died 1 day and 4 days after the operation because of the toxic shock.Conclusion：For the colon cancer companied with the acute abdomen,it should do preparation before the operation,choose the reasonable operation method and strengthen the post-operative comprehensive treatment,which are the important guarantee to reduce the post-operative complications and enhance the survival quality of patients.