【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. ...... 婵犵鈧啿鈧綊鎮樻径鎰畺闁靛ǹ鍎查煬顒€霉閿濆牊纭堕柡浣靛€濋獮宥団偓锝庡亝缁ㄦ氨绱掑☉姗嗘Ч缂佷緤濡囬幉鎾醇閻斿壊妲梺鍝勫暟婵數娑甸崼鏇炶摕闁靛／鍕暯闂佺懓鐡ㄩ悧鏃傜箔閸涱喗濮滈柦妯侯槸瀵潡鏌￠崒姘カ缂佽鲸绻堝畷锝夘敍濠靛棗骞嬮梺鍝勫閸ㄧ敻锝為敃鍌氱婵犲﹤鎳庨崑宥団偓娈垮枟濞叉﹢骞栭崨濠傜窞閺夊牃鏅滈崺鍌炴煃閵夛妇鐭庢繛鏉戞閹秵鎷呭ù瀣壕婵犲灚鎸剧粈澶愭偣閸ヮ剦妫戦柛瀣剁秮瀹曟瑧鎷犻懠顒佺秳濡ょ姷鍋炲ú妯恒€掗懜鐢碘枖閻庯綆鍋呴悡娆撴煟閵娿儱顏ら柍褜鍓氱划搴ㄥ极閹间焦鍤囬柟瀵稿Т椤ｅジ鏌嶉妷锔剧畺闁搞劊鍔戦崹鎯р堪閸愩劍鏋剧紓鍌氬暞閸ㄥ潡濡存径鎰伋婵犻潧饪撮崯蹇涙⒒閸屻倕鏋旈柍褜鍓ㄩ幏锟�


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