急性肠梗阻的诊治体会

The Experience of Diagnosis and Treatment of Acute Intestinal Obstruction

目的探讨急性肠梗阻的病因及治疗体会。方法回顾分析笔者所在医院2010年1月至2013年2月外科收治的92例急性肠梗阻的临床资料。结果粘连性肠梗阻41例,肿瘤性肠梗阻28例,腹外疝12例;急诊手术30例,死亡2例。结论肠梗阻起病急、变化快,需要早期作出正确的诊断、处理,手术应选择在肠绞窄发生之前进行。

Objective To investigate the causes and experience of treating of acute intestinal obstruction. Methods Reviewing and analysing clinical data of 92 cases of acute intestinal obstruction which was cured by author＇s hosptial from January 2010 to February 2013. Results 41 cases of adhesive intestinal obstruction,28 cases of intestinal obstruction caused by neoptasm, 12 cases of abdominal external hernia. And 30 cases of emergency operation,2 cases of operative mortality. Conclusion Intestinal obstruction has acute onset and the condition changes quickly, so it is need to make accurate judgment and treatment early. In addition, an operation should be had before intestine strangulation occurs.