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目的探讨急性肠梗阻的手术时机。方法回顾分析102例急性肠梗阻手术治疗情况,分早期组(发病后24h内手术22例)、中期组(发病后24～48h手术60例)、延期组(发病48h后手术20例)。结果早期组无肠管坏死,住院时间平均9d;中期组局部肠管坏死10例占19.6%,平均住院时间10.5d;延期组肠管坏死9例占45%,住院期间复发再手术2例占9.5%,平均住院时间13d,早期手术组治愈率100%,死亡率为0,中期组治愈率96.67%,死亡率为3.33%,延期组治愈率90%,死亡率为10%。结论非手术治疗无效者应及时手术治疗,最好发病后24h内手术。
Objective To investigate the timing of surgery for acute intestinal obstruction. Methods The clinical data of 102 patients with acute intestinal obstruction were retrospectively analyzed. The patients in the early group (22 cases within 24 hours after onset), the middle group (60 cases after 24-48 hours after onset) and the deferred group (20 cases after 48 hours) were retrospectively analyzed. Results In the early stage, there was no bowel necrosis and the average length of hospital stay was 9 days. In the interim group, 10 cases of local bowel necrosis accounted for 19.6% and the average hospitalization time was 10.5 days. Nine cases died of bowel necrosis in 45 cases, The average length of hospital stay was 13 days. The cure rate was 100% and the mortality rate was 0 in the early operation group. The cure rate in the middle period group was 96.67% and the mortality rate was 3.33%. The cure rate in delayed group was 90% and the mortality rate was 10%. Conclusion Non-operative treatment should be timely surgical treatment, the best within 24 hours after onset of surgery.