【摘要】 目的 探讨老年人粘连性肠梗阻治疗方法。 方法 回顾分析208例老年人粘连性肠梗阻病例手术及非手术治疗。 结果 本组208例均发生于腹腔手术后，主要症状是腹痛、腹胀、肛门停止排气、排便。行腹部X线平片检查208例均确诊，其中不完全性肠梗阻137例，完全性肠梗阻71例。行非手术治疗59例，手术治疗149例。 结论 老年人粘连性肠梗阻的主要原因是腹部手术，依靠病史、体征及腹部X线摄片检查来诊断。粘连性不全性肠梗阻非手术治疗成功率较高，而完全性肠梗阻或出现绞窄性肠梗阻时应积极手术，掌握手术时机十分重要。

    【关键词】 老年人;粘连性肠梗阻;诊断

    Treatment taste of adhesive intestinal obstruction in elderly patients(report of208cases)

    ZHANG Shuai，YANG Shao-yu，LUO Hong-tu.

    General Surgery Dept2，Guangzhou First Municipal People's Hospital，Guangzhou510180，China

    【Abstract】 Objective To investigate the therapeutic methods for adhesive intestinal obstruction in elderly pa-tients.Methods The clinical data of208cases of adhesive intestinal obstruction in elderly patients with surgical treat-ment and non-surgical treatment were analyzed.Results 208patients have received abdominal operation.The mainly symptoms were bellyache、abdominal distention、stop relieve fart.208patients have received the examination of abdomi-nal X-ray ......