Sourkati E O, Fahal A H, Suliman S H, el Razig S A, Arabi Y E
Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan.
East Afr Med J. 1996 May;73(5):316-9.
The pattern of intestinal obstruction at Khartoum Teaching Hospital was reviewed in this study which included 239 patients. 170 of them were males and 68 were females. Their ages ranged from two days to 95 years (mean 31.4 +/- 5.3 years). The commonest causes of intestinal obstruction were strangulated external hernias (27.7%), intestinal adhesions (21%), intussusception (12%) and sigmoid volvulus (11%). Less frequent causes were paralytic ileus, large bowel tumours, peritoneal bands and Hirschsprung's disease. Of the strangulated hernias, inguinal hernia (70%) was the most frequent type of hernia seen, followed by paraumbilical hernia (20%). Previous appendicectomy (40%) and laparotomy for abdominal trauma (20%) were the commonest causes of adhesive intestinal obstruction. The mortality rate of intestinal obstruction was 19.7%. This high mortality is attributed to delayed presentation, fluid and electrolyte imbalance, intestinal ischaemia and gangrene. This could be minimised by health education, adequate preoperative preparation, meticulous surgical technique and good postoperative care.
本研究回顾了喀土穆教学医院收治的239例肠梗阻患者的情况。其中男性170例，女性68例。年龄范围为2天至95岁（平均31.4±5.3岁）。肠梗阻最常见的病因是绞窄性外疝（27.7%）、肠粘连（21%）、肠套叠（12%）和乙状结肠扭转（11%）。较不常见的病因包括麻痹性肠梗阻、大肠肿瘤、腹膜带和先天性巨结肠。在绞窄性疝中，腹股沟疝（70%）是最常见的疝类型，其次是脐旁疝（20%）。既往阑尾切除术（40%）和腹部外伤剖腹手术（20%）是粘连性肠梗阻最常见的病因。肠梗阻的死亡率为19.7%。这种高死亡率归因于就诊延迟、液体和电解质失衡、肠缺血和坏疽。通过健康教育、充分的术前准备、细致的手术技术和良好的术后护理，可将死亡率降至最低。
