少见急性肠梗阻的临床分析与策略
少见急性肠梗阻;病因学;病死率;治疗;诊断,孙早喜,崔海宁,王正文,余壮明,黄海溶,通讯作者:,Clinicalanalysisandstrategyforunusualtypesofacuteintestinalobstructions,Zao-XiSun,Ha
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孙早喜, 崔海宁, 王正文, 余壮明, 海南医学院附属医院 海南省海口市 570102
黄海溶, 海南医学院流行病教研室 海南省海口市 571101
通讯作者: 孙早喜, 570102, 海南省海口市龙华路31号, 海南医学院附属医院. zaoxisun@tom.com
电话: 86-898-36339683/66773248
收稿日期: 2007-05-02 修回日期: 2007-07-19
Clinical analysis and strategy for unusual types of acute intestinal obstructions
Zao-Xi Sun, Hai-Ning Cui, Hai-Rong Huang, Zheng-Wen Wang, Zhuang-Ming Yu
Zao-Xi Sun, Hai-Ning Cui, Zheng-Wen Wang, Zhuang-Ming Yu, Department of General Surgery, the Affiliated Hospital of Hainan Medical College, Haikou 570102, Hainan Province, China
Hai-Rong Huang, Department of Epidemiology, Hainan Medical College, Haikou 571101, Hainan Province, China
Correspondence to: Zao-Xi Sun, Department of General Surgery, the Affiliated Hospital of Hainan Medical College, 31 Longhua Road, Haikou 570102, Hainan Province, China. zaoxisun@tom.com
Received: 2007-05-02 Revised: 2007-07-19
Abstract
AIM: To explore the clinical characteristics of unusual acute intestinal obstructions, and to improve early diagnosis and treatment in such cases.
METHODS: Patients with unusual acute intestinal obstructions were divided into three groups: children (n = 31), adolescents or adults (n = 13), and elderly (n = 29). The incidence and conditions, acute physiology and chronic health evaluation (APACHE) score, operative rate, mortality, and cure rates of patients with unusual acute intestinal obstructions were analyzed retrospectively using SPSS12.0 statistical software.
RESULTS: There were 122 (94 male, 28 female) unusual cases among 338 patients with acute intestinal obstruction. Among the 31 children, 62 adolescents or adults, and 29 elderly patients, there were 13, 26 and 14, unusual intestinal obstructions, respectively. The visiting time of patients (2.3 ± 1.5 h, 60.0 ± 43.2 h, 84.0 ± 67.2 h, P = 0.000); APACHE score (2.5 ± 1.8, 5.5 ± 3.6, 17.8 ± 5 ......
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