The etiology of acute intestinal obstruction and mortality- retrospective analysis of 705 cases of.docVIP

 PAGE \* MERGEFORMAT 22 The etiology of acute intestinal obstruction and mortality: retrospective analysis of 705 cases of [Abstract] sum up the etiology of acute intestinal obstruction types and the overall mortality, and explore reasonable and conservative surgical treatment of pre-treatment time. Methods: A retrospective analysis of the West China Hospital from 1995 to 2002 medical records of patients, classification statistics all kinds of causes, and analysis of mortality with conservative treatment before surgery between the period of relevance. Results: A total included 705 cases of acute intestinal obstruction cases, including 71.1% of lesions in the small intestine, 82.6% for the simple obstruction. The most common diseases because of adhesions (62.0%), followed by tumors (23.7%). 56.7% of the patients received surgical treatment. Overall mortality was 1.6%, including conservative treatment group was 1.3%, surgical treatment group was 1.7%. The incidence of intestinal necrosis with the conservative treatment interval prolongation and increased, when the strangulation reports of over 24 h that is likely to die. Conclusion: The similarity with the West, in China also have cause of adhesive transfer to the epidemiological trends. West China Hospital of Sichuan University, based on experience, nearly half of the number of cases of simple obstruction by conservative treatment can alleviate. Conservative treatment to alleviate the trend of the extension and no simple obstruction or strangulation occurred within the first 24 h of cases should receive surgical treatment. [Keywords:] Intestinal Obstruction etiology prognosis of mortality Acute intestinal obstruction is one of the most common surgical emergencies, which involves a partial or complete blockage of the bowel that induces mechanical impairment or complete arrest of the passage of contents through the intestine. The etiology of acute intestinal obstruction is various and complicated. In differen