少見急性腸梗阻的臨床分析與策略
少見急性腸梗阻;病因?qū)W;病死率;治療;診斷,孫早喜,崔海寧,王正文,余壯明,黃海溶,通訊作者:,Clinicalanalysisandstrategyforunusualtypesofacuteintestinalobstructions,Zao-XiSun,Ha
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孫早喜, 崔海寧, 王正文, 余壯明, 海南醫(yī)學(xué)院附屬醫(yī)院 海南省�？谑� 570102
黃海溶, 海南醫(yī)學(xué)院流行病教研室 海南省海口市 571101
通訊作者: 孫早喜, 570102, 海南省�？谑旋埲A路31號(hào), 海南醫(yī)學(xué)院附屬醫(yī)院. zaoxisun@tom.com
電話: 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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