Rodríguez-Paz C A, Palacio-Vélez F
Unidad de Cirugía General, Hospital Regional General Ignacio Zaragoza, ISSSTE.México DF
Rev Gastroenterol Mex. 2000 Jul-Sep;65(3):121-3.
To determine the etiology, clinical symptom, evolution, and results of management of small bowel obstruction (SBO) in our geriatric patients.
SBO is one of the first etiologies of surgical emergency procedures in the elderly with mortality at 20-40%. It is believed that etiology of these obstructions is due to the abdominal hernia adherence and oncologic problems.
In all patients older than 65 year of age, no traumatic, attending the emergency room of our General Surgery Service from December 1996 to June 1998, data concerning symptomatology and surgical finding were collected.
In 104 surgical elderly emergency patients, 40 cases was operated on by BO. The first cause was inguinal and umbilical hernia (35%). The first symptom was hypertympanism and radiological data. Mortality was 37% conditioned by metabolic and pneumonic problems.
The abdominal hernias were the firth etiology from SBO. We recommended immediate surgery and preoperative correction of the additional diseases.
确定我院老年患者小肠梗阻（SBO）的病因、临床症状、病情发展及治疗结果。
SBO是老年患者外科急诊手术的首要病因之一，死亡率为20%-40%。据信这些梗阻的病因是腹疝粘连和肿瘤问题。
收集1996年12月至1998年6月期间在我院普通外科急诊室就诊的所有65岁以上无创伤的患者的症状和手术发现数据。
在104例老年外科急诊患者中，40例因小肠梗阻接受了手术。首要病因是腹股沟疝和脐疝（35%）。首要症状是鼓音亢进和影像学数据。死亡率为37%，由代谢和肺部问题导致。
腹疝是小肠梗阻的首要病因。我们建议立即手术并对其他疾病进行术前纠正。
