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

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.