老年急性肠梗阻56例病因及治疗分析

目的探讨老年急性肠梗阻的病因、临床表现及治疗特点。方法对1999年1月～2009年12月收治的60岁以上经手术证实的急性肠梗阻患者56例的临床资料进行回顾性分析。结果 56例患者中恶性梗阻29例（占51.8%）,肠粘连11例（占19.6%）,腹外疝7例（占12.5%）,肠扭转3例（占5.4%）,肠系膜动脉栓塞2例（占3.6%）,其它4例（占7.1%）。术后出现并发症19例（占34%）,死亡2例（占3.6%）。结论老年急性肠梗阻患者以恶性梗阻多见,合并症多,早期诊断、早期手术是治疗的关键,加强围手术期处理可降低术后并发症及死亡率。

ANALYSIS OF THE PATHOGENY AND TREATMENT IN SENILEPATIENTS WITH ACUTE INTESTINAL OBSTRUCTION

Objective To explore the pathogeny、clinical manifestation and the traits of treatment in senile patients with acute intestinal obstruction.Methods The clinical data of 56 cases with acute intestinal obstruction which were treated by surgery were analyzed retrospectively from January,1999 to December,2009.Results All of the 56 cases malignant obstruction occurred in 29 cases（51.8%）;ankylenteron occurred in 11 cases（19.6%）;abdominal external hernia occurred in 7 cases（12.5%）;intestinal twist occurred in 3 cases（5.4%）;mesenteric artery embolism occurred in 2 cases（3.6%）;others occurred in 4 cases（7.1%）;postoperative complications occurred in 19 cases（34%）;2 cases died（3.6%）.Conclusion the malignant obstruction was most common in senile patients with acute intestinal obstruction,with more complications.The early diagnosis and surgery were the key therapy,strengthening peri-operative care can reduce the postoperative complications and death rate.