急性肠梗阻的手术时机和方式

目的：探讨急性肠梗阻的手术时机和方式选择。方法：回顾性分析2004年1月～2009年6月我院收治的380例急性肠梗阻患者的临床资料。结果：非手术115例，非手术治疗率为30.3％，平均住院5．2d；手术265例，手术治疗率为69．7％，平均住院12．4d。结论：急性肠梗阻是外科常见急腹症，因梗阻原因、部位、病变程度不同，可有不同的临床表现，体征也可不完全一样。临床上如何掌握手术治疗时机和方法十分重要，过晚可以造成肠坏死及术后严重并发症，并增加患者死亡率。

Operation time and manner of acute intestinal obstruction

Objective： To explore the selection of surgery opportunity and manner of acute intestinal obstruction. Methods： The clinical data of 380 patients with acute intestinal obstruction from January 2004 to June 2009 in our hospital were retrospectively analyzed. Results： 115 cases underwent non-surgical treatment, and the non-surgical treatment rate was 30.3%, the average hospitalization time was 5.2 days; 265 cases underwent surgery, and the surgery treatment rate was 69.7%, the average hospitalization time was 12.4 days. Conclusion： Acute intestinal obstruction is a common surgical acute abdomen due to different obstructive causes, location and lesions may have different clinical manifestations, signs are not exactly the same. It is important to master the time and method of operation in clinic, too late may result in intestinal necrosis and serious postoperative complications, and further increase patients＇ mortality.