摘要：目的:探讨急性癌性结肠梗阻的诊断、围手术处理及一期手术治疗。方法：回顾分析以急性肠梗阻或急性阑尾炎为第一诊断收治的结肠癌29例，围手术期使用足量抗生素预防治疗腹部感染，术中行肠减压、灌洗，术野局部使用抗生素，一期或二期手术切除吻合。结果：全部治愈，无吻合口瘘及其他并发症。结论：急性癌性结肠梗阻经完善围手术期和术中处理，一期手术切除吻合是安全可行的。

    关键词：结肠肿瘤 肠梗阻 结肠造口术 结肠灌洗 阑尾炎误诊

    Colon cancerous intestinal obstruction surgery to treat 29 example

    Jin Feng

    Abstract:Objective:Discusses the acute cancerous colon obstruction the diagnosis,encircles surgery processing and an issue of surgery treats.Methods:The review analysis take the acute intestinal obstruction or the acute appendicitis as the first diagnosis admitting colon cancer 29 examples,encircles the surgery time to use the full quantity antibiotic prevention treatment abdomen infection,in the technique the good intestines reduced pressure,fills washes,the technique wild partial use antibiotic,issue of or two issue of surgeries excise tally.Results:Cures completely,not kisses the heal fistula and other complications.Conclusion:The acute cancerous colon obstruction encircles in the surgery time and the technique after the consummation processes,an issue of surgery excises tallies is safe feasible. ......