急性肠梗阻患者病因分析及手术时机选择

目的分析急性肠梗阻发病原因及手术时机选择。方法回顾分析本院2003年7月至2008年6月收治的急性肠梗阻196例临床资料。结果粘连性肠梗阻占43.4%,肿瘤性肠梗阻占37.8%,嵌顿疝引起肠梗阻占10.7%,其他8.1%;入院后48h内手术102例,48h后手术46例;术后出现并发症21例,死亡6例,病死率占3.1%。结论粘连和肿瘤是成人急性肠梗阻最常见病因,根据患者具体病情,正确诊断及选择合适的手术时机是降低并发症和病死率的关键。

The etiology and the timing of operation analysis in acute intestinal obstruction patients

Objective To analyses the etiology and the timing of operation in acute intestinal obstruction. Methods 196 cases of acute intestinal obstruction patients that operated from July 2003 to June 2008 were investigated in our hospital. Results Among all cases,The rate of adhesion,neoplasm,incarcerated hernia is respective 43.4% ,37.8% and 10.7%.107 cases were operated in 48 hours and 46 cases were operated beyond 48 hours 21 cases had complication and 6 cases died. The rate of death is 3.1%. Conclusion Adhesion and neoplasm were the mostly common causes of acute intestinal obstruction. It is the key to diagnose accurately and choose the timing of operation accordion to patients conditions for decreasing complication and mortality.