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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。
Objective To analyze the causes of acute intestinal obstruction and the timing of operation. Methods A retrospective analysis of our hospital from July 2003 to June 2008 admitted to the acute intestinal obstruction in 196 cases of clinical data. Results Adhesive intestinal obstruction accounted for 43.4%, neoplastic intestinal obstruction 37.8%, incarcerated hernia caused ileus 10.7%, other 8.1%; admission 48 hours after surgery 102 cases, 48 hours after surgery 46 cases; postoperative complications 21 cases, 6 died, the fatality rate accounted for 3.1%. Conclusions Adhesions and tumors are the most common causes of acute intestinal obstruction in adults. According to the patients’ specific conditions, the correct diagnosis and selection of the appropriate timing of surgery are the keys to reduce complications and mortality.