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目的探讨急性肠梗阻的诊断及手术治疗时机选择。方法回顾分析我院2006年2月～2012年2月收治的24例急性肠梗阻患者的临床资料。结果本组24例急性肠梗阻患者经开腹手术及保守治疗,治愈21例,好转1例,死亡2例,其因均为就医过晚,肠襻坏死,感染中毒太深,虽手术彻底切除坏死肠段,认真冲洗置管引流腹腔,但全身中毒症状终无法纠正,失去救治机会。结论急性肠梗阻尽早明确诊断,一旦梗阻确定,要严格手术指征,早期手术,以免延误救治。
Objective To explore the diagnosis of acute intestinal obstruction and the timing of surgical treatment. Methods The clinical data of 24 patients with acute intestinal obstruction admitted in our hospital from February 2006 to February 2012 were retrospectively analyzed. Results The group of 24 patients with acute intestinal obstruction by laparotomy and conservative treatment, 21 cases were cured, 1 case of improvement, 2 cases of death, both because of medical treatment were too late, intestinal necrosis, infection poisoning is too deep, although the surgical removal of Necrotic bowel, carefully flushing catheter abdomen, but the symptoms of systemic poisoning can not be corrected, losing the chance of treatment. Conclusion Acute intestinal obstruction as soon as possible a clear diagnosis, once the obstruction is confirmed, strict surgical indications, early surgery, so as not to delay treatment.