目的探讨大肠癌并发急性穿孔的外科治疗。方法15例大肠癌并发急性穿孔的病人采用肿瘤根治性切除术6例，姑息性切除术7例，穿孔修补术2例。结果14例治愈出院，1例死亡，治愈率93％。结论先解决腹腔感染问题，再选择适当术式治疗原发肿瘤，是手术成功的关键。 Objective To investigate the surgical treatment of colorectal cancer complicated by acute perforation. Methods 15 patients with colorectal cancer complicated with acute perforation were treated with radical resection in 6 cases, palliative resection in 7 cases and perforation repair in 2 cases. Results 14 cases were cured and discharged, 1 died, and the cure rate was 93%. Conclusion It is the key to the success of surgery to resolve the problem of abdominal infection first and then select appropriate surgical treatment for primary tumor.