急性小肠坏死90例临床分析

Clinical analysis of 90 cases with acute intestinal necrosis

目的:探讨急性小肠坏死的病因及其临床特征,提高急性小肠坏死的诊治水平。方法:收集2003-01-2012-12收治的急性小肠坏死患者的一般资料、病史、临床表现、并发症、影像学检查、血液学检查、病理检查等相关资料,归纳总结其临床特征。结果:共收集急性小肠坏死病例90例,其中嵌顿疝26例、粘连24例、肠扭转22例、肠系膜上动脉栓塞9例、肠系膜上静脉血栓形成5例、腹部闭合性损伤3例、肠套叠1例。全组治愈81例,病情危重自动放弃4例,死亡5例。结论:急性小肠坏死病因复杂,早期诊断困难,及时行手术切除是一种有效的治愈方法。

Objective：To discuss the etiology and clinical characters of acute intestinal necrosis,and to improve the diagnosis and therapy of this disease. Method： From Jan 2003 to Dec 2012, the clinical data of acute intestinal necrosis cases were collected, including history, clinical manifestations, complications, imaging results, blood test and pathological results. The clinical characters were summarized. Result：A total of 90 cases with acute intestinal necrosis were collected and 26 cases of them were strangulated hernia, 24 cases were intestinal adhesion, 22 cases were volvulus, 9 cases of arterial embolism, 5 cases of superior mesenteric venous thrombosis,3 cases of closed ab- dominal injury, 1 case of intussusceptions. 81 patients were cured,4 patients gave up treatment and 5 patients died. Conclusion：Acute intestinal necrosis has complicated pathogenesis and difficulty in early diagnosis,operation resection is an effective method in time.