_ analysis of elderly patients with acute intestinal obstruction paper network(_分析老年急性肠梗阻患者纸网络).docVIP
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_ analysis of elderly patients with acute intestinal obstruction paper network(_分析老年急性肠梗阻患者纸网络)
_ Analysis of elderly patients with acute intestinal obstruction paper network
Paper Network: [keyword] older; acute intestinal obstruction; cause; treatment 1987-2002 in our hospital 112 cases of elderly patients with acute intestinal obstruction, now we are described below.
Clinical data 1.1 General Information The group of 112 cases in 72 males and 40 females, ranging in age from 65 to 86 years, accounting for 40% of patients with acute intestinal obstruction over the same period. Obstruction reasons: colorectal cancer in 45 patients (40.2%), intestinal tumors in 4 cases (3.6%), surgery adhesion after 29 cases (25.9%), incarcerated hernia in 29 cases (25.9%), volvulus in 3 cases (2.7%), intussusception, and abdominal hernia in 1 case (0.9%).
1.2 Procedures (1) intestinal tumors: 26 cases radical surgery for stage Ⅰ; ??8 patients underwent ileal ileum and ascending colon transverse colon short circuit anastomosis, 11 cases of stage surgery, four cases of palliative resection (2) of adhesive intestinal obstruction: 6 patients had intestinal necrosis, intestinal bowel resection and anastomosis line; belted 14 cases of adhesion lysis, while sodium hyaluronate into the intra-abdominal adhesion prevention again 8; 9 cases of small intestinal enterolysis underwent intubation plication White Act (3) incarcerated hernia: 11 cases of intestinal necrosis lines bowel resection, high ligation of hernia sac, 3 cases of intra-abdominal hernia sac ligation (where l is the routine bowel resection); 15 routine hernia sac ligation and hernia repair abdominal hernia in 1 case of intestinal reset line crack repair mesangial (4) volvulus and intestinal intussusception in 4 patients row reduction and fixation.
1.3 The results The group 3 patients due to extensive intestinal necrosis, toxic shock, after 1 week died of multiple organ failure, the mortality rate of 2.7%, 1 case of colorectal cancer line left colon resection, postoperative anastomotic fistula,
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