中外医学研究Issue(4)：5-7,3.DOI:10.14033/j.cnki.cfmr.2015.04.003
老年肠梗阻154例临床诊疗分析
Diagnosis and Treatment in Elderly Patients with Intestinal Obstruction -A Retrospective Analysis of 154 cases
付春玉 1李世宽 2史文超 1李元博1
作者信息
- 1. 青岛大学医学院 山东 青岛 266003
- 2. 青岛大学医学院附属医院
- 折叠
摘要
Abstract
Objective:To investigate the clinical characteristics,treatment and clinical result of the elderly with intestinal obstruction,by which it will provide reference for the diagnosis and treatment of the elderly intestinal obstruction.Method:We collected 154 cases of the elderly intestinal obstruction from January 2008 to December 2013 in the Affiliated Hospital of Qingdao University Medical College.Aggregately analyzed etiology, treatment and length of stay,coexisting diseases and fatality rate of patients.Result:In 154 cases,the top three etiologies were neoplasm,adhesion and hernia.There were 79 patients underwent surgical operation and 75 patients received expectant treatment.The length of stay of expectant treatment patient’s was significantly shorter than that of surgical patients(P<0.01).There were 102 patients who had different coexisting diseases.Both surgical treatment group and expectant treatment group,the length of stay of the patients had coexisting diseases were longer than those who had no coexisting diseases,the different was significant.154 cases,there were 6 deaths.The fatality rate accounted for 1.05% in surgical treatment group,8.47% in expectant treatment group,there was statistical significance(P<0.05).However,there were no statistical differences between the patients had coexisting diseases group and had no coexisting diseases group(P>0.05).Conclusion:(1)Neoplasm is the commonest reason leading to the elderly intestinal obstruction,this is followed by adhesive and hernia.(2)The coexisting diseases affect the clinical result of elderly intestinal obstruction.(3)The operative indication of elderly intestinal obstruction should be properly relaxed.关键词
老年患者/肠梗阻/诊断/治疗Key words
Elderly patients/Intestinal obstruction/Diagnosis/Treatment分类
医药卫生引用本文复制引用
付春玉,李世宽,史文超,李元博..老年肠梗阻154例临床诊疗分析[J].中外医学研究,2015,(4):5-7,3.
