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目的探讨偏远基层医院急性肠梗阻的诊疗体会。方法回顾性分析我院2000～2006年间收治的急性肠梗阻143例的临床资料。结果 143例患者均进行了剖腹探查术,手术方式包括粘连松解术,肠切除肠吻合术,肠造瘘二期肠吻合术,肿瘤切除加肠切除肠吻合术,脓肿清除术等。术后并发症主要有肠瘘,腹膜炎腹腔脓肿,粘连性肠梗阻复发,吻合口出血,肿瘤复发转移等,术后死亡24例,死亡率达16.78%。结论基层医院,在急性肠梗阻的诊疗方面有其自己的诊治特点,因此,如何早诊断早手术,在基层医院应该引起注意,尽量减少并发症,降低死亡率,挽救患者的生命很重要。
Objective To explore the diagnosis and treatment of acute intestinal obstruction in remote primary hospitals. Methods The clinical data of 143 cases of acute intestinal obstruction admitted in our hospital from 2000 to 2006 were retrospectively analyzed. Results All 143 patients underwent laparotomy. The surgical methods included adhesion lysis, intestinal resection and intestinal anastomosis, secondary enterostomy of enterostomy, resection of the intestine with intestinal resection, abscess removal and so on. Postoperative complications mainly include intestinal fistula, peritonitis abdominal abscess, adhesive intestinal obstruction recurrence, anastomotic bleeding, tumor recurrence and metastasis, 24 cases died after operation, the mortality rate was 16.78%. Conclusions Primary hospitals have their own diagnosis and treatment characteristics in the diagnosis and treatment of acute intestinal obstruction. Therefore, how to diagnose early early operation should be paid attention to in the primary hospital so as to minimize complications, reduce mortality and save the lives of patients.