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总结我院1990-2009年诊治95例结肠癌致急性肠梗阻的临床资料,进行分析讨论。95例病人均经手术和病理证实。男56例,女39例,男女之比为1.44:1。年龄22~83岁,平均58.6岁,59岁以下35例,占36%,60岁以上60例,占64%。讨论首先要确定有无肠梗阻,典型急性小肠梗阻具有阵发性腹部绞痛、呕吐、腹胀、肠鸣音亢进等表现,诊断一般并不困难,但急性结肠梗阻与前者不同,腹痛轻、呕吐少,有的病人肠鸣音并不亢进,主要表现为明显腹胀,加之部分病人表现为急性不全梗阻,因而导致诊断困难。本组
The clinical data of 95 cases of acute intestinal obstruction caused by colon cancer from 1990 to 2009 in our hospital were summarized and analyzed. 95 patients were confirmed by surgery and pathology. 56 males and 39 females, the ratio of male to female was 1.44: 1. Aged 22 to 83 years old, with an average of 58.6 years old, 35 cases of 59 years of age, accounting for 36%, 60 years of age 60 cases, accounting for 64%. The first to determine whether the discussion of intestinal obstruction, a typical acute intestinal obstruction with paroxysmal abdominal cramps, vomiting, abdominal distension, bowel sounds hyperthyroidism and other performance, the diagnosis is generally not difficult, but the acute colon obstruction and the former are different, abdominal pain and vomiting Few, and some patients bowel sounds are not hyperthyroidism, mainly for the obvious abdominal distension, in addition to some patients showed acute incomplete obstruction, resulting in the diagnosis difficult. This group