肠梗阻是外科最常见的急腹症之一.本人收集了我院近三十年来所收治的523倒成人肠梗阻病历,其中男332例.女191例,年龄为15至87岁不等.非手术治疗组386例.手术治疗组137例,死亡11例,523例肠梗阻均于入院后12～24小时内经临床表现及腹部透视及腹部立位X光片明确诊断.为了更好的认识和防治肠梗阻的发生.我们对其发病原因及诊治等有关问题进行了分析.我们统计523例成人肠梗阻的病因分类,非手术治疗组和手术治疗组病因分类,并计算各种类型肠梗阻的构成比.在粘连肠梗阻中,我们以其发病原因把它简单地分两类:一类是手术后发生的肠梗阻,另一类是粘连型肠梗阻,是由于结核性腹膜炎所致.我们发现因阑尾炎穿孔手术后发生粘连性肠梗阻占有较大的比例.在手术治疗组中,我们还计算了肠坏死率,分析其发生原因,大部分不是由于误诊.而是机械的实行非手术治疗造成的.本组死亡11例,我们分析了死亡原因及其各占比例.另外,我们对中青年和老年进行了分析.分析了肠梗阻病因分类比较,经统计学处理后得出,中青年比老年更容易发生各种类型的肠梗阻,尤其是粘连肠梗阻,成人肠梗阻523例病历分析表明,肠梗阻发生的主要原因依次为腹膜粘连、肠扭转、肿瘤、嵌顿疝、肠套叠.认识到成人肠梗阻这种病因构成,对我们今后在临床上诊治肠梗阻是非常 Ileus is one of the most common acute abdomen surgery, I collected 523 cases of intestinal obstruction in our hospital in the past three decades, of which 332 were male and 191 female, aged 15 to 87 years old. 386 cases of non-surgical treatment group.The surgical treatment group of 137 cases, 11 cases of death, 523 cases of intestinal obstruction within 12 to 24 hours after admission by clinical manifestations and abdominal radiography and abdominal radiographs clear diagnosis.In order to better understand And prevention and treatment of intestinal obstruction.We analyzed its causes and diagnosis and treatment and other related issues.We statistics 523 cases of intestinal obstruction etiology classification, non-surgical treatment group and surgical treatment group etiology classification, and calculate various types of intestinal obstruction In the adhesion of intestinal obstruction, the reason for its incidence we simply divided into two categories: one is the occurrence of intestinal obstruction after surgery, and the other is adhesion-type intestinal obstruction, due to tuberculous peritonitis. We found that appendicitis perforation occurred after a large proportion of adhesive intestinal obstruction in the surgical treatment group, we also calculated the rate of intestinal necrosis, analysis of its causes, most not because of misdiagnosis, but the mechanical implementation of non-surgical Treatment made Of the death in this group of 11 cases, we analyzed the causes of death and their respective proportions.In addition, we analyzed the middle-aged and elderly.The analysis of the cause of intestinal obstruction classification comparison, the statistics obtained after the youth ratio Elderly more likely to have various types of intestinal obstruction, especially adhesion intestinal obstruction, intestinal obstruction in 523 cases of patient records showed that the main causes of intestinal obstruction followed by peritoneal adhesions, intestinal torsion, tumor, incarcerated hernia, intussusception. Recognizing the causes of intestinal obstruction in adults constitute, for our future clinical diagnosis and treatment of intestinal obstruction is very