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编号:11006949
老年人大肠癌并急性肠梗阻35例治疗体会
http://www.100md.com 《中华现代临床医学杂志》 2006年第9期
大肠癌,,肠肿瘤;肠梗阻;老年人,1临床资料,2讨论,参考文献】
     【摘要】 目的 探讨老年大肠癌并急性肠梗阻的诊治。方法 回顾性分析了35例老年大肠癌并发急性肠梗阻患者的住院资料。结果 28例行结肠癌根治切除一期吻合,6例行根治切除一期吻合近段结肠造口,3例行姑息切除一期吻合,2例行单纯造口术,发生2例吻合口漏经保守治疗痊愈,1例死于多器官功能衰竭。结论 对于大肠癌并急性肠梗阻,应加强围手术期管理,争取行一期手术,姑息切除仍有重要意义,手术方式要合理安全。

    【关键词】 肠肿瘤;肠梗阻;老年人

    Treatment of colon carcinoma accompanied with acute obstruction in 35 elderly patients

    CHEN Jian-bing.Department of Surgery,Central Hospital of Songjiang District,Shanghai 201600,China

    【Abstract】 Objective To investigate the treatment of colon carcinoma accompanied with obstruction in elder patient.Methods Clinical datas of 35 cases of hospitalized elder patients suffered from colon carcinoma accompanied with acute obstruction were analyzed retrospectively.Results 28 cases underwent radical resection and one-stage anastomosis,6 cases had radical resection and proximal colonic ostomy,3 cases had palliative resection and one-stage anastomosis,2 cases had simple ostomy,2 cases with anastomosis leakage recovered after conservative treatment and 1 case died from multi.Conclusion For colon carcinoma accompanied with acute obstruction,perioperative management should be intensified,one-stage resection is necessary and palliative resection is also useful.Patterns of operation should be reasonable and safe. ......

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