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自1976年6月～1992年8月,共收治22例资料完整的左半结肠癌并发急性肠梗阻的高龄患者。现将其围手术期处理及误诊原因分析如下: 1 临床资料 男13例,女9例,年龄60～78岁,中位数63岁。主要临床表现为腹胀、腹痛、排便排气中止、呕吐,腹平片为结肠胀气和液气乎影象。伴冠心病8例、高血压7例,糖尿病4例,肺心病4例,前列腺肥大8例,便秘9例,胆石症4例。肠梗阻时间24～96小时,中位数72小时。癌肿位于脾曲结肠3例,降结肠6例,乙状结肠13例。腹腔转移2例,肝转移1例,肠穿孔2例,中毒性休克1例,腺癌21例,其中
From June 1976 to August 1992, a total of 22 elderly patients with complete data on left colon cancer complicated with acute intestinal obstruction were treated. The perioperative management and misdiagnosis reasons are analyzed as follows: 1 Clinical data 13 males and 9 females, aged 60 to 78 years, median 63 years old. The main clinical manifestations are abdominal distention, abdominal pain, exhaust defecation, vomiting, and abdominal flattening of flatulence and fluid air. There were 8 cases of coronary heart disease, 7 cases of hypertension, 4 cases of diabetes, 4 cases of pulmonary heart disease, 8 cases of prostatic hypertrophy, 9 cases of constipation, and 4 cases of cholelithiasis. Intestinal obstruction time was 24 to 96 hours with a median of 72 hours. Cancer was located in 3 cases of splenic colon, descending colon in 6 cases, sigmoid in 13 cases. There were 2 cases of celiac metastasis, 1 case of liver metastases, 2 cases of intestinal perforation, 1 case of toxic shock, and 21 cases of adenocarcinoma.