摘要
目的探讨急性肠梗阻手术时机的抉择。方法回顾性分析急救中心急诊外科2007年5月～2010年5月142例急性肠梗阻急诊手术病人的临床资料。结果本组142例病人均经急诊剖腹探查术、肠粘连松解、肠切除吻合术。术后发生吻合口瘘3例,2例保守治疗痊愈,1例行横结肠造瘘;27例出现不同程度的炎性肠梗阻,经保守后痊愈;无死亡病例。切口感染15例。结论急性肠梗阻病人需要积极的个体化的手术治疗,病人症状的变化优先于体征的变化,当病人腹痛加重,疼痛间隙缩短时是手术介入的时机。
Objective Investigate acute intestinal obstruction operation time decision.Methods Retrospective analysis of emergency surgery in our hospital emergency center from May 2007 to May 2010 142 cases of acute intestinal obstruction in the clinical data of patients with emergency surgery.Results 142 patients in this group of patients were confirmed by emergency laparotomy,adhesion lysis,intestinal resection and anastomosis.Postoperative anastomotic leakage occurred in 3 cases,2 patients recovered with conservative treatment,a routine transverse colostomy;27 patients with different degrees of intestinal obstruction,was cured by conservative;no death cases;15 cases of wound infection.Conclusion Acute intestinal obstruction in individual patients need aggressive surgical treatment,the symptoms of the change in priority in the signs of change,when the patient increased abdominal pain,pain,shorten the time gap is the timing of surgical intervention.
出处
《当代医学》
2011年第7期104-105,共2页
Contemporary Medicine
关键词
急性肠梗阻
手术时机
腹痛
Acute intestinal obstruction
Operation time
Abdominal pain
