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目的探讨老年急性肠梗阻发病特点、治疗及手术时机选择。方法对52例老年急性肠梗阻患者的临床资料进行回顾性总结,分析其发病特点、治疗方法及手术时机、治疗效果。52例中手术治疗34例、非手术治疗18例。结果痊愈50例,死亡2例。1例术后5d后死于急性肺栓塞,1例死于中毒性休克。结论老年急性急性肠梗阻起病形式隐匿,误诊率高,病情变换快,并发症复杂,手术风险高,应早期诊断,慎重掌握适应证,选择合适手术时机,积极预防并发症,降低病死率。
Objective To investigate the characteristics of the elderly patients with acute intestinal obstruction, treatment and timing of surgery. Methods The clinical data of 52 elderly patients with acute intestinal obstruction were retrospectively reviewed. The characteristics of the disease, the treatment methods, the operation timing and the therapeutic effect were analyzed. Among 52 cases, 34 cases were treated surgically and 18 cases were treated non-surgically. Results cured 50 cases, 2 died. One patient died of acute pulmonary embolism after 5 days and one patient died of toxic shock. Conclusion The acute onset of acute intestinal obstruction in elderly patients with occult onset, high misdiagnosis rate, fast change of disease, complicated complications and high operation risk should be diagnosed early, indications should be carefully taken, the appropriate timing of operation should be selected, the complication be prevented and the mortality reduced.