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目的:探讨急性肠梗阻的发病原因及手术时机。方法:回顾性分析我院2004年1月～2007年12月收治入院并行手术治疗的57例急性肠梗阻患者的临床资料。结果:粘连性肠梗阻占45.61%;恶性肿瘤性肠梗阻占22.80%;嵌顿疝性肠梗阻占14.04%。1例因手术后并发多器官功能障碍病情恶化而出院,5例好转出院,其余的51例均治愈出院。结论:粘连和恶性肿瘤性肠梗阻是位居前两位的肠梗阻类型,采取一些措施以降低腹部手术后肠粘连的发生率是有必要的。单纯性肠梗阻发展为绞窄性肠梗阻死亡率会急剧上升,加强病因分析、选择合适的手术时机是降低肠梗阻死亡率的关键。
Objective: To investigate the etiology and operation timing of acute intestinal obstruction. Methods: The clinical data of 57 patients with acute intestinal obstruction admitted to our hospital from January 2004 to December 2007 were retrospectively analyzed. Results: Adhesive intestinal obstruction accounted for 45.61%; malignant intestinal obstruction accounted for 22.80%; incarcerated hernia intestinal obstruction accounted for 14.04%. One patient was discharged after experiencing complicated deterioration of multiple organ dysfunction. Five patients were discharged and the remaining 51 patients were cured. Conclusions: Adhesions and malignant tumor ileus are the first two types of intestinal obstruction. It is necessary to take some measures to reduce the incidence of intestinal adhesion after abdominal surgery. The development of simple obstruction of strangulated intestinal obstruction mortality will rise sharply, to strengthen the etiological analysis, select the appropriate timing of surgery is the key to reducing intestinal obstruction mortality.