THE CLINICAL DIAGNOSIS AND OPERATION MANAGEMENT OF STRANGULATING INTESTINAL OBSTRUCTION IN 139 CASES

中国医师进修杂志 Pub Date : 2000-08-15 DOI:10.3760/CMA.J.ISSN.1673-4904.2000.08.012

Xueying Chen, Rong-lin Yan, Xing Yang, Wen-yuan Guo, Weiyuan Zhang

引用次数: 0

Abstract

Objective: To investigate the early diagnosis and operative manner of strangulating intestinal obstruction. Methods: The clinical material of 139 patients with strangulating intestinal obstruction from Jan. 1975 to Dec. 1999 was analysed retrospectively. Results: There were only 58 patients(41.7%) were diagnosed as strangulating intestinal obstruction before operation, the other 81 patients(58.3%) were diagnosed at laparotomy. All patients were treated by operation, 106 patients were cured, 33 dead. The mortality was 23.7%. The main cause of death was septic shock、MOF、ARDS and severe disturbance of water-electrolyte、acid-base balance. Conclusion: Early diagnosis of strangulating intestinal obstruction was difficult. Intestine necrosis may be prevented by analysing carefully the clinical features and related examinations. Early operation was the most effective treatment. Emphasized post operative ICU management was the key procedure of decreasing mortality.

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139例绞窄性肠梗阻的临床诊断与手术处理

目的:探讨绞窄性肠梗阻的早期诊断及手术方式。方法:回顾性分析我院1975年1月~ 1999年12月收治的139例绞窄性肠梗阻患者的临床资料。结果:术前诊断为绞窄性肠梗阻的患者58例(41.7%)，开腹诊断为绞窄性肠梗阻的患者81例(58.3%)。所有患者均行手术治疗，治愈106例，死亡33例。死亡率为23.7%。死亡原因主要为感染性休克、MOF、ARDS及严重的水电解质、酸碱平衡紊乱。结论:绞窄性肠梗阻早期诊断困难。通过仔细分析临床特征和相关检查，可以预防肠坏死。早期手术是最有效的治疗方法。强调术后ICU管理是降低死亡率的关键环节。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

中国医师进修杂志

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26239

期刊介绍： Chinese Journal of Postgraduates of Medicine (founded in 1978, monthly) is one of the series of journals of the Chinese Medical Association (CMA) under the supervision of the National Health Commission of the People's Republic of China, sponsored by the Chinese Medical Association (CMA) and Dalian Institute of Theoretical Medicine (DITM). It is a core journal of Chinese science and technology, a statistical source journal of Chinese scientific and technical papers, and a statistical source journal of China Academic Journal Impact Factor Annual Report. The journal adheres to the purpose of using continuing medical education and post training, highlights new theories, new knowledge, new methods and new technologies, and focuses on the combination of theory and practice, and the combination of popularisation and improvement. Main columns: Special tutorials, expert forums, clinical treatises, clinical experience, reviews and lectures, continuing medical education, teaching and research, advanced training forum, drugs and clinics, overview of progress, introduction of new technologies, imaging and clinics, lessons learnt, discussions and evaluations, case reports, discussions of clinical cases, conference proceedings, and domestic and international academic developments. The main target readers are clinical medical personnel in internal medicine, surgery, gynaecology, paediatrics and ophthalmology.