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Clinical diagnosis and treatment of 64 cases with gerontism acute bowel obstruction in old people WEN Yi-guo,LI Yi-fan,XU Zhao-liang (Corona to Cure Hospital,Puning City,Guangdong Province,Puning 515300,China) Abstract:Objective To approach the clinical curative effect of 64 cases with gerontism acute bowel obstruction.

转载创新医学网-在线阅览笔者:温奕果,李一凡,许朝亮(广东省普宁华侨医院外科,广东普宁 515300)目的:探讨老年急性肠梗阻64例的临床诊疗分析。

Congenital microcolon is second symptom with intestinal obstruction.X-ray plays an important role in diagnosis and differential diagnosis of the primary disease with congenital microcolon.

细小结肠症是肠梗阻后的继发征象,X线检查对其原发疾病诊断和鉴别诊断有重要价值。

CT findings of phytobezoar associated with small bowel obstruction.

多层螺旋CT 多平面重建诊断急性肠梗阻病因的价值。

It has great value for early diagnosis of strangulated bowel obstruction and offers solid evidence for early treatment.

血清PLA2对早期判断是否出现绞窄性肠梗阻有积极的意义,可为早期手术治疗提供参考。

Objective: To explore the value of serum phospholipase A2(PLA2) in acute strangulated bowel obstruction.

目的:探讨不同程度肠梗阻与血清磷脂酶A2(PLA2)激活间的关系。

ABSTRACT] Objective: To explore the value of serum phospholipase A2(PLA2) in acute strangulated bowel obstruction.

目的:探讨不同程度肠梗阻与血清磷脂酶A2(PLA2)激活间的关系。

Methods: The clinical material of 139 patients with strangulating intestinal obstruction from Jan.

回顾性分析1975年1月至1999年12月诊治的139例绞窄性肠梗阻资料。

Early diagnosis of strangulating intestinal obstruction was difficult. Intestine necrosis may be prevented by analysing carefully the clinical features and related examinations.

绞窄性肠梗阻早期诊断困难,应根据临床特点和辅助检查,严密观察其动态变化,综合分析判断,把握手术时机,预防肠坏死的发生。

Results: The causes of 56 patients who died were as follows: 29 patients died from the complication of respiratory system,11 patients died from anastomotic leaking,6 patients died from hemorrhagic shock,3 patients died from multiple organ failure, 3 patients died from whole body failure caused by chylopleura, 1 patient died from empyema and gastric necrosis, 1 patient died from sudden cardiac death, 1 patient died from heart failure, 1 patient died from strangulating intestinal obstruction and toxic shock caused by diaphragmatic hernia.

结果:56例死亡患者的死亡原因:肺部并发症29例(51.8%),吻合口瘘11例(19.6%),失血性休克6例(10.6%),多器官功能衰竭3例(5.4%),乳糜胸致全身衰竭3例(5.4%),胃后坏死、脓胸1例(1.8%),心脏性猝死1例(1.8%),心力衰竭1例(1.8%),膈疝引起绞窄性肠梗阻中毒性休克1例(1.8%)。

In fact, except for cancer, adhesions are the most common cause of bowel obstruction.

事实上除了癌症,粘连是肠梗阻最常见的病因。

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但我们并不在乎沙场中的显露。

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啊!不用提了。提到肉,真是糟透了。

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