摘要
目的 :探讨肠扭转的病因、诊断及治疗方法。方法:回顾性分析1988年1月～2003年3月间诊治的48例肠扭转病人的临床资料。结果:术前明确诊断13例 ,诊断为肠梗阻25例 ,腹膜炎5例 ,休克1例 ,误诊4例。行非手术治疗2例 ,手术治疗46例。治愈43例 ,死亡5例。病死率10.4%。结论:肠扭转的诊断主要依据临床表现和腹部X线检查。治疗以手术为主 。
Objective:To investigate the etiology,diagnosis and treatment of volvulus.Methˉods:The clinical data of48patients with volvulus admitted from January,1988to March,2003was retrospectively analyzed.Results:There were13cases with identified preoperative diagnoˉsis.25cases were diagnosed as bowel obstruction,5cases peritonitis,1case shock.4cases were misdiagnosed.In all patients,2cases did not undergo surgery while46cases accepted surgery.43cases were cured and5cases died.The case fatality was10.4%.Conclusion:The diagnosis of volvulus is mainly depend on clinical symptoms and X-ray examination of abˉdomen.Operation play the key role in theropeutic management of volvulus and suitable proceˉdures should be select according to different cases.
出处
《天津医科大学学报》
2003年第4期491-493,共3页
Journal of Tianjin Medical University
关键词
肠扭转
诊断
治疗
Volvulus
Diagnosis
Treatment
