Investigation on the causes of death and influential factors for the prognosis of 103 cases of strangulating intestinal obstruction / 中国医师进修杂志

ABSTRACT

Objective To investigate the causes of death and influential factors for the prognosis of patients with strangulating intestinal obstruction. Method The clinical data of 103 cases of strangulating intestinal obstruction admitted from August 2001 to November 2009 were analyzed retrospectively. Results All patients were treated by surgery, 55 cases (53.4%) were diagnosed of strangulating intestinal obstruction before surgery, the remaining 48 cases (46.6%) were diagnosed underwent laparotomy. Ninety two cases were cured, 11 cases died,the mortality rate was 10.7%. Major causes of death were septic shock,multiple organ dysfunction syndrome (MODS), acute respiratory distress syndrome (ARDS) and acute renal failure,septic shock was the most important independent factor that affect the prognosis. Conclusion Clear and early diagnosis,rational decision of the timing of surgery,and prompt and effective surgical treatment is the key to reduce mortality in strangulated intestinal obstruction.