老年急性肠梗阻病因及手术时机对术后并发症的影响

The influence of the pathogenesis and operation opportunity of acute intestinal obstruction in the elderly to the postoperative complications

目的研究老年急性肠梗阻的发病原因以及手术时间的选择对术后并发症影响。方法选择2011年5月至2016年5月在番禺区化龙医院接受手术治疗的80例老年急性肠梗阻患者进行回顾分析。总结出患者发病的原因、手术进行的时间以及患者手术后并发症的出现情况。结果48小时内手术治疗的患者57例,48小时后手术治疗的患者23例。术后出现并发症的有34例,死亡2例。并发症包括伤口感染、肠粘连、腹腔内感染、死亡。结论早期手术治疗老年肠梗阻可减少术后并发症的发生,48小时内进行手术治疗可明显改善患者预后,值得推广。

Objective For further study the postoperative complications influenced by the causes and the selection of operation time of senile patients with acute intestinal obstruction. Methods Eighty cases fromacute intestinal obstruction in aged patientsin our hospital from May 2011 to May 2016, were selected to retrospectively analyzed. Summarize the pathogenesis, operation time and complications occurrence after operation. Results 57 cases were operated in 48 hours while 23 cases were post-48 hours. 34 cases had complications after surgery including 2 death cases. Complications include wound infection, intestinal adhesion, intra-abdominal infections and death. Conclusion The arly surgical treatment of elderly intestinal obstruction can reduce the incidence of postoperative complications, surgical treatment within 48 hours can significantly improve the prognosis of patients, it is worthy of promotion.