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Analysis of large intestinal strangulation on elderly patients with mechanical bowel obstruction associated with colorectal carcinoma:A review of 58 cases
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1671-0274.1999.02.009
- Key Word:
- 老年;癌肿;肠梗阻
Abstract： 目的探讨老年癌性结、直肠梗阻的诊治方法. 方法分析58 例老年癌性完全性结、直肠梗阻的临床表现,腹部X线检查、B超、CT、钡灌肠和腹腔穿刺等检查, 以及血清肌酸磷酸激酶和血清乳酸脱氢酶的测定, 对老年癌性结、直肠梗阻可能出现的绞窄性肠梗阻作出早期诊断,全面评估老年患者各脏器功能后,早期手术治疗.结果本组58例患者中有55例行手术治疗.从入院至手术时间3小时至5天. 术中诊断13 例为绞窄性肠梗阻,其中5例术前做出诊断,符合率38%.55例手术患者术后发生并发症34例,死亡5例,病死率9%,其中绞窄性肠梗阻死亡3例.结论对于老年癌性结、直肠梗阻, 能够早期并准确地认识到绞窄性肠梗阻的发生,对治疗和预后具有重要意义.
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