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目的探讨结肠癌急性穿孔患者的临床诊治及其疗效。方法总结 19例结肠癌急性穿孔患者的临床特点、手术方式和预后 ,分析临床诊断和围手术期死亡、术后生存期的相关因素。结果术前确诊 8例 ,误诊 11例。围手术期死亡 5例 ,根治术和姑息性切除术后平均生存期分别为 3 4.5月和 12 .2月。结论早期诊断、积极手术、合理术式和综合治疗是降低围手术期病死率和延长术后生存期的重要因素
Objective To investigate the clinical diagnosis and treatment of patients with acute perforation of colon cancer. Methods The clinical features, surgical methods and prognosis of 19 patients with acute perforation of colon cancer were summarized and the related factors of clinical diagnosis, perioperative mortality and postoperative survival were analyzed. Results 8 cases were diagnosed preoperatively and 11 cases were misdiagnosed. Perioperative death in 5 cases, radical surgery and palliative resection of the average survival were 34.5 months and 12.2 months. Conclusion Early diagnosis, active surgery, rational operation and comprehensive treatment are important factors to reduce perioperative mortality and prolong postoperative survival