Dia A, Ba D, Fall B, Ndiaye M, Toure C T, Sow M L, Diop A
Clinique Chirurgicale, CHU A. Le Dantec, Dakar, Sénégal.
Dakar Med. 1993;38(1):23-6.
The profile of colic occlusions has been drawn from sixty two (62) observations made at the Surgical Clinic between 1970 and 1984. The male sex was slightly more affected (3 men for 2 women) with the age of the patients ranging from 19 to 82 years. The clinical sign could be summed up as following: a montrous ballooning of the abdomen which is asymmetrical in 89% of the cases. The occlusions with a stade of shock represented 58% of our observations. The abdomen plain film exhibited the characteristic signs in 89% of the cases. The etiology is dominated by the volvulus of the pelvic colon in 83% of the cases. The essentially surgical treatment has mostly consisted on a resection-anastomosis. Mortality rate was 9.7%. Late consultation of the patients, the shortage of fully equiped medical infrastructure explain the gravity of the affection.
结肠梗阻的情况源自1970年至1984年间在外科诊所进行的62例观察。男性受影响略多（男女比例为3:2），患者年龄在19岁至82岁之间。临床症状可总结如下：腹部出现巨大膨隆，89%的病例不对称。处于休克阶段的梗阻占我们观察病例的58%。腹部平片在89%的病例中显示出特征性征象。83%的病例病因以盆腔结肠扭转为主。主要的外科治疗大多包括切除吻合术。死亡率为9.7%。患者就诊延迟以及医疗基础设施配备不全解释了病情的严重性。
