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目的 总结10年来肠梗阻的诊治经验。方法 回顾性分析了10年间收治的599例肠梗阻资料。结果 病因明确540例（90.2%)，其中机械性肠梗阻529例（98.0%)；原因不明59例（9.8%）。非手术治疗381例（63.6%)，手术治疗218例（36.4%)，术后并发症7例（4.5%)。死亡27例。结论 10年间肠梗阻以粘连性肠梗阻、肿瘤性肠梗阻最常见。粘连性肠梗阻中84.2%为手术后所致，青年、无手术史的肠梗阻主要为结核性粘连所致。肿瘤性肠梗阻临床表现有一定特点。对手术后早期粘连性肠梗阻应以非手术治疗为主。

Clinical analysis of intestinal obstruction:a review of 599 cases

Objective To summarize our experience in the diagnosis and treatment of intestinal obstruction. Methods The etiological factors,diagnosis and treatment of patients with intestinal obstruction from Jan 1990 to Jan 2000 were analyzed retrospectively.Results The causes were clear in 540 cases (90 2%),unclear in 59 cases (9 8%).Nonoperative management was done in 381 cases (63 6%),and operative management in 218 cases (36 4%),postoperative complications occurred in 7 cases.Twenty seven patients died.Conclusion Adhesive intestinal obstruction and intestinal malignant tumors are the most common types of intestinal obstruction.Among the adhesive intestinal cases,84 2 percent were due to operation.Tuberculous adhesions are the main causes of intestinal obstruction in young patients without operation.The symptoms and signs of intestinal malignant obstruction are different from adhesive intestinal obstruction.We advocate that early adhesive intestinal obstruction should be treated non operatively.