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目的 :分析老年人急性肠梗阻的病因及其处理。方法 ;总结 1990年 5月至 2 0 0 0年 10月收治的 180例经手术证实的 6 0岁以上的急性肠粳阻患者。结果 :病因中肿瘤 88例 ,占 48,9% ,肠粘连 32例 ,占 17.8% ,腹外疝 2 1例 ,占 11.7% ,肠扭转 18例 ,占 10 %。术后并发症 41例 ,占 2 2 .8%。死亡 12例 ,占 6 .6 7%。结论 :1老年人急性肠梗阻的主要病因为肿瘤 ,肠扭转为不可忽视的重要因素 ;2加强围手术期处理可减少术后死亡率 ;3一经结肠灌洗后再行肠吻合可有效降低吻合口瘘的发生 ,同时改善患者术后生活质量
Objective: To analyze the etiology and treatment of acute intestinal obstruction in the elderly. Methods; 180 cases of surgically proven acute intestinal japonica resistance over 60 years admitted from May 1990 to October 2000 were summarized. Results: There were 88 cases of etiology, accounting for 48.9%, 32 cases of intestinal adhesion, accounting for 17.8%, 21 cases of abdominal hernia, accounting for 11.7%, and 18 cases of intestinal gut twisting (10%). 41 cases of postoperative complications, accounting for 22.8%. 12 cases died, accounting for 6.76%. Conclusions: 1 The main causes of acute intestinal obstruction in the elderly are the important factors which can not be ignored in the tumor and intestine. 2 The perioperative management can reduce the postoperative mortality.3 The colorectal lavage followed by bowel anastomosis can effectively reduce the anastomosis Fistula occurred, while improving the quality of life of patients after surgery