Roscher R, Frank R, Baumann A, Beger H G
Abteilung für Allgemeinchirurgie, Universität Ulm/Donau.
Chirurg. 1991 Aug;62(8):614-9.
Between 1982 and 1988 275 patients with obstruction of the small intestine were operated. The etiology of obstruction: adhesions 48%, malignancies 26%, strangulated hernias 8%. The duration of obstruction symptoms was 3.7 days prior to hospital admission and 1.9 days from admission to operation. 78% of patients had a history of previous laparotomies, in 73% there were serious accompanying diseases. Strangulation obstruction was found in 18% of patients. Operative procedures included small bowel resection in 30%, creation of stomata in 14%, and deviation anastomoses in 12%. Postoperative complications were mainly pulmonary. Median time of hospitalization was 24 days, hospital mortality amounted to 7.6%. A low mortality was encountered especially in strangulation obstruction and after resections. Reduction of surgery induced morbidity is primarily made responsible for the good results.
1982年至1988年间，对275例小肠梗阻患者进行了手术。梗阻的病因：粘连占48%，恶性肿瘤占26%，绞窄性疝占8%。梗阻症状持续时间在入院前为3.7天，从入院到手术为1.9天。78%的患者有既往剖腹手术史，73%有严重伴随疾病。18%的患者发现有绞窄性梗阻。手术方式包括小肠切除占30%，造口占14%，转流吻合占12%。术后并发症主要是肺部并发症。中位住院时间为24天，医院死亡率为7.6%。尤其是在绞窄性梗阻和切除术后死亡率较低。手术所致发病率的降低主要归功于良好的结果。
