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目的 :探讨特发性大肠穿孔的发病原因及诊治。方法 :对 1985～ 2 0 0 0年 8例特发性大肠穿孔的临床资料进行回顾性分析。结果 :8例中 6例治愈 ,2例死亡。结论 :特发性大肠穿孔病因既有本身解剖生理因素 ,又与腹腔和肠内压力因素密切相关 ,同时 ,腹腔内或腹膜后慢性炎症刺激 ,可能是诱发本病另一病因。术前误诊率高 ,关键在于对本病缺乏充分认识。明确诊断 ,估计穿孔部位 ,尽早手术探查 ,合理术式选择及积极防治并发症 ,是抢救成功与否的关键所在。
Objective: To investigate the etiology and diagnosis and treatment of idiopathic colorectal perforation. Methods: The clinical data of 8 cases of idiopathic colon perforation from 1985 to 2000 were analyzed retrospectively. Results: 6 of 8 cases were cured and 2 died. Conclusion: The causes of idiopathic colorectal perforation are not only anatomical and physiological factors, but also related to intra-abdominal and intestinal pressure factors. In addition, chronic inflammatory stimulation in peritoneal cavity or retroperitoneum may be another cause of this disease. The preoperative misdiagnosis rate, the key lies in the lack of full understanding of the disease. A clear diagnosis, estimation of perforation site, as soon as surgical exploration, a reasonable choice of surgical procedures and active prevention and treatment of complications is the key to the success of the rescue.