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老年肠梗阻临床诊治分析
引用本文:龚红生,胡庠,赵新潮,刘子君. 老年肠梗阻临床诊治分析[J]. 中国医药导刊, 2012, 14(4): 612-613
作者姓名:龚红生  胡庠  赵新潮  刘子君
作者单位:龚红生 (南京市浦口区中心医院普外科,南京,211800) ; 胡庠 (南京市浦口区中心医院普外科,南京,211800) ; 赵新潮 (南京市浦口区中心医院普外科,南京,211800) ; 刘子君 (南京市浦口区中心医院普外科,南京,211800) ;
摘    要:目的:探讨老年性肠梗阻的临床特点及诊治。方法:选取2008年7月~2011年7月我院收治的老年性肠梗阻患者94例,对其临床资料进行分析。结果:94例老年性肠梗阻患者,治愈69例(73.40%),患者不同就诊时间的治疗结果之间的差异具有统计学意义(P<0.05);有64例(68.09%)合并患者一种或一种以上的其他疾病,有合并疾病的患者的治疗结果与无合并疾病的患者相比差异具有显著性(P<0.05);肿瘤性肠梗阻患者36例,其中3例患者有手术禁忌症采取非手术治疗,其他33例行手术治疗;粘连性肠梗阻患者31例,其中25例采取非手术治疗。结论:肠梗阻就诊时间影响患者的治疗结果;年龄不应是决定是否手术的主要因素;肿瘤性肠梗阻以手术治疗为主,粘连性肠梗阻以非手术治疗为主。

关 键 词:肠梗阻  临床诊治  老年

Clinical Analysis of Senile Intestinal Obstruction
Affiliation:Gong Hong-sheng,Hu Sheng-xiang,Zhao Xin-chao,et.al.(Department Of General Surgery,Nanjing Pukou Central Hospital,Nanjing 211800,China)
Abstract:Objective:To study the clinical features and treatment of senile intestinal obstruction.Methods:94 patients were involved in this study and their clinical data were analysised.Results:In 94 patients,69 cases(73.40%) were cured.The treatment of patients with different treatment time have different results that have statistically significant(P<0.05).The patients with concurrent disease compared with patients without comorbidities were significant differences in treatment results(P<0.05).36 patients were neoplastic intestinal obstruction.31 patients were adhesive intestinal obstruction.Conclusion: Treatment time affects patient outcomes.Age should not be a major factor in deciding whether surgery.In tumor intestinal obstruction the main treatment is surgical treatment and adhesive intestinal obstruction is mainly non-surgical treatment.
Keywords:Intestinal obstruction  Clinical treatment  Senile[1]
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