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绞窄性肠梗阻手术时机与临床指标的相关性

郭科 封光华 贾忠

中国中西医结合外科杂志2011,Vol.17Issue(1):60-62,3.
中国中西医结合外科杂志2011,Vol.17Issue(1):60-62,3.DOI:10.3969/j.issn.1007-6948.2011.01.022

绞窄性肠梗阻手术时机与临床指标的相关性

Relationship between Operation Timing and Clinical Criteria in Intestinal Obstruction

郭科 1封光华 1贾忠1

作者信息

  • 1. 浙江省杭州市第一人民医院(南京医科大学附属杭州医院)普外科,杭州,310006
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摘要

Abstract

Objective To investigate the reliable indicators of operation timing of strangulated intestinal obstruction. Methods A retrospective study of 65 patients with simple intestinal obstruction and 55 patients with strangulated intestinal obstruction was done.. All patients were confirmed by operation. Indicators including body temperature, pulse abdominal pain, abdominal distension, result of peritoneocentesis, leukocyte count, C-reactive protein, D-dimer, CT finding and shock were observed and recorded. Te relationship between the indicators and the operation timing of strangulated intestinal obstruction was analyzed with SPSS statistical analysis software package. Results In simple intestinal obstruction group, three patients (4.62%) met two of the above indicators and nobody met three or more of the above indicators. In strangulated intestinal obstruction group,twenty patients (36.36%) met two of the above indicators and twenty five (45.45%) patients met three or more of the above indicators, Conclusion Once a patient with intestinal obstruction meet two or more of the above indicators, he or she most likely has strangulated occurred, hence the patients should be treated carefully and operated in time.

关键词

肠梗阻/手术时机/临床指标/相关性

分类

医药卫生

引用本文复制引用

郭科,封光华,贾忠..绞窄性肠梗阻手术时机与临床指标的相关性[J].中国中西医结合外科杂志,2011,17(1):60-62,3.

中国中西医结合外科杂志

OACSTPCD

1007-6948

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