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目的 :提高急性非肿瘤性结肠穿孔的诊治水平。方法 :回顾性分析我院外科 1 978～ 2 0 0 0年 2 2年间收治的急性非肿瘤性结肠穿孔患者 2 2例。结果 :外伤性穿孔 40 .9% (9/ 2 2 ) ;炎症性肠病穿孔 36 .4% (8/ 2 2 ) ;医源性穿孔 9.1 % (2 / 2 2 ) ;缺血性肠穿孔 9.1 % (2 / 2 2 ) ;自发性肠穿孔 4 .5 % (1 / 2 2 ) ;死亡率 4 .5 % (1 / 2 2 )。结论 :急性非肿瘤性结肠穿孔将造成粪性腹膜炎 ,后果严重。根据发病原因 ,加强对此类疾病的认识 ,早期发现并根据病性选择合理术式是降低合并症的关键
Objective: To improve the diagnosis and treatment of acute non-tumor colon perforation. Methods: A retrospective analysis of 22 cases of acute non-neoplastic colon perforation admitted to our hospital from January 1978 to February 2002 was performed. Results: Traumatic perforation was 40.9% (9/2 2); inflammatory bowel disease was 36.4% (8/22); iatrogenic perforation was 9.1% (2/2 2); ischemic intestinal perforation 9.1% (2/2 2); spontaneous intestinal perforation 4.5% (1/2 2); mortality 4.5% (1/2 2). Conclusion: Acute non-tumor colon perforation will cause fecal peritonitis with serious consequences. According to the cause of the disease, to strengthen the understanding of such diseases, early detection and selection of reasonable surgical procedures is the key to reducing comorbidities