义乌92岁老人突然腹胀呕吐？竟是因为肠子被卡住了…
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pics-app.cnyw.net/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <p class="">原标题：92岁老人肠子被“卡”住险坏死，中心医院胃肠外科专家成功“补洞”！</p><section style="font-size: 15px; line-height: 2; letter-spacing: 2px; box-sizing: border-box; font-style: normal; font-weight: 400; text-align: justify; color: #3e3e3e;"><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: rgba(109, 155, 209, 0.1); padding: 20px; border-bottom-style: solid; border-bottom-width: 0px; box-sizing: border-box;"><section style="margin: 0px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="margin: 0px 0px 10px; text-indent: 2.2667em; white-space: normal; padding: 0px; box-sizing: border-box;">92岁的何爷爷（化名）身体一向硬朗，平日里闲不住的他总是抢着干农活。多年前，他就发现自己右侧大腿根部有个鼓包，站着干活时特别明显，躺下或者用手按一下又能回去，不痛不痒不影响日常生活，何爷爷便没当回事。</p></section></section><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">一周前，何爷爷突然发现这个鼓包回不去了，还伴随着腹胀呕吐的症状，家人意识到问题的严重性，立即将老人送至义乌市中心医院。</p></section></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: 60%; align-self: flex-start; flex: 0 0 auto; height: auto; padding: 0px 20px 0px 0px; box-sizing: border-box;"><section style="margin: 20px 0px 10px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">完善检查后，何爷爷被诊断为“右侧嵌顿性腹股沟疝”，嵌顿的疝内容物为小肠，造成了肠梗阻，且腹腔内有积液，不排除肠管坏死可能性。</p></section></section></section><section style="display: inline-block; vertical-align: top; width: auto; flex: 100 100 0%; height: auto; align-self: flex-start; box-sizing: border-box;"><section style="text-align: center; margin: 0px 0px 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FrMsjKxvzFSLvjB3BvGmH27QDCq_" /></section></section><section style="text-align: center; margin: 0px 0px 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fjtl2U5L0rqk5yoqXdLaX_6rQMcB" /></section></section></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“如果不及时处理，被卡住的小肠会在短时间内出现血运障碍、坏死、穿孔，进而引发弥漫性腹膜炎、感染性休克等，严重时会危及生命。”</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">胃肠外科主任医师陈建峰解释道，疝嵌顿通俗来说就是“肠子被卡住了”，这是腹股沟疝最严重的并发症之一，嵌顿的肠管无法回纳，坏死、穿孔的风险会随着时间的延长而急剧增加。</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fl1bf5mt3-zzl3-hzucmJoEQaVcf" /></section></section><section style="text-align: center; font-size: 12px; color: #a0a0a0; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;">（资料图）</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">何爷爷的病情已经具有明确的手术指征，必须尽快手术，否则后果不堪设想。经过紧急的术前评估和充分沟通，陈建峰团队为何爷爷进行了腹腔镜下疝嵌顿松解回纳、疝囊高位结扎术。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">“约有5cm的小肠嵌顿，回复的肠管刚开始色泽略暗，后来逐渐变得红润。”术中，手术团队发现何爷爷腹腔内小肠肠管扩张、充血水肿，在小心翼翼地将被卡压的肠管拉回腹腔后，团队仔细观察其血运情况，幸运的是，被卡住的小肠没有出现明显坏死和穿孔现象，不需要进行肠切除。</span></p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;"> </span></p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><span style="box-sizing: border-box;">确定肠管功能正常后，团队继续进行了疝环口的连续缝合、打结，并小心吸除了腹腔内的积液，在仔细检查无出血后完成最终缝合。历时半小时，手术迅速、成功地完成了。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fv7sVqNGOMX7oH5Yp5W0nD1EOkXc" /></section></section><section style="text-align: center; font-size: 10px; color: #a0a0a0; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;">▲ 主管医师张志松为何爷爷查看伤口恢复情况</p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">在胃肠外科医护团队的精心治疗和护理下，何爷爷恢复良好，腹胀、呕吐等症状消失，并顺利排气排便，术后一周便达到了出院标准。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“老人这么大年纪了，可不能再由着他的性子去干活，一定要好好休息，不能再累到了！另外上厕所也要注意，不能太用力了……”出院前，医生反复和何爷爷的家人嘱咐着。</p><section style="margin: 0px; box-sizing: border-box;"><section style="text-align: center; color: #1b66b3; line-height: 2; box-sizing: border-box;"><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"> </strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">疝气是老年人的常见疾病</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">60岁以上人群的发病率高达1%~5%</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">但很多人都和何爷爷一样</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">认为不痛不痒没必要处理</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">最终导致嵌顿、肠坏死等严重后果</strong></p><p style="margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;"> </strong></p></section></section><section style="margin: 5px 0px 10px; box-sizing: border-box;"><section style="background-color: #1b66b3; height: 1px; box-sizing: border-box;"></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; display: inline-block; line-height: 0; width: 90%; height: auto; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FriyKZh5khBrhdktB3HvlfB22FYS" /></section></section><section style="margin: 3px 0px 10px; box-sizing: border-box;"><section style="background-color: #1b66b3; height: 1px; box-sizing: border-box;"></section></section><section style="margin: 0px; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">“老年人是腹股沟疝的高发人群，与腹壁强度降低和腹内压力增高两大因素密切相关。”陈建峰表示，老年人常患有慢性支气管炎、前列腺增生、便秘等慢性疾病，长期咳嗽、排尿困难、排便困难等都会导致腹腔压力增高；此外，老年人肌肉萎缩、腹壁强度降低，腹腔内脏器容易通过腹壁缺损突出形成疝。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">早期的疝气往往不痛不痒，但可能会带来下腹坠胀、腹胀气、腹痛、便秘、营养吸收功能差、疲劳乏力等症状。最大的风险是疝气发生嵌顿（卡住）并引发一系列严重并发症。<span style="text-indent: 2.2667em;">因此，老年人疝气千万不能拖，一定要做到早发现、早诊断、早治疗。</span></p></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FkKqjJ1IvHHTwfS0mCWio-9wkkoY" /></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">手术是治疗疝气的唯一有效方法。目前，腹腔镜下无张力修补术是治疗腹股沟疝的主要手术方式，具有创伤小、恢复快、复发率低等优势。</p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">陈建峰强调，一旦发生嵌顿，必须立即到医院就诊。疝气如同衣服上的洞，不会自行愈合，只会越破越大，随着疝块逐渐增大，不仅会加重病情，治疗难度和手术风险也会大大增加。</p></section><section style="margin: 10px 0px; box-sizing: border-box;"><section style="display: flex; width: 100%; flex-flow: column; box-sizing: border-box;"><section style="z-index: 1; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; line-height: 0; padding: 0px 10px 0px 0px; box-sizing: border-box;"><section style="box-sizing: border-box;"><section style="display: inline-block; width: 0px; height: 0px; vertical-align: top; overflow: hidden; border-style: solid; border-width: 6px 0px 6px 9px; border-color: rgba(255, 255, 255, 0) rgba(255, 255, 255, 0) rgba(255, 255, 255, 0) #1b66b3; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section><section style="display: inline-block; width: auto; vertical-align: middle; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; padding: 0px 10px; box-sizing: border-box;"><section style="text-align: justify; color: #5f9cef; letter-spacing: 2px; line-height: 2; padding: 0px 10px; box-sizing: border-box;"><p style="text-indent: 2.2667em; white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;">对于有慢性咳嗽、便秘、前列腺增生等疾病的老年患者，应积极治疗这些会增加腹压的疾病，同时避免重体力劳动、适量运动、控制体重，多吃蔬菜水果等粗纤维食物防止便秘。一旦发现腹壁（包括腹股沟区，大腿根部）有不明原因的鼓包，一定要及时到医院就诊，切勿拖延！</p></section></section></section></section></section></section><section style="margin: 10px 0px; box-sizing: border-box;"><section style="background-color: #1b66b3; height: 1px; box-sizing: border-box;"></section></section><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin: 10px 0px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: top; width: auto; align-self: flex-start; flex: 0 0 auto; border-top-left-radius: 20px; border-bottom-right-radius: 10px; overflow: hidden; background-image: linear-gradient(rgba(255, 136, 136, 0) 10%, #ff8888 90%); padding: 0px 0px 3px 3px; min-width: 5%; max-width: 100%; height: auto; box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; box-sizing: border-box;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-top-left-radius: 20px; border-bottom-right-radius: 10px; overflow: hidden; background-color: #ffffff; padding: 10px 15px 0px; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"> </p></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; margin: 0px 0px 0px -20px; align-self: center; box-sizing: border-box;"><section style="text-align: justify; box-sizing: border-box;"><p style="white-space: normal; margin: 0px; padding: 0px; box-sizing: border-box;"><strong style="box-sizing: border-box;">中心医院胃肠外科专家</strong></p></section></section><section style="display: inline-block; vertical-align: top; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; box-sizing: border-box;"><section style="box-sizing: border-box;"><section style="display: inline-block; width: 8px; height: 8px; vertical-align: top; overflow: hidden; background-color: #ffffff; border-radius: 100%; box-sizing: border-box; border: 2px solid #ff8888;"></section></section></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FiLgVZqJ0KsRStkTinUQtMnaVNuU" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FmsGAQGvMI-QM00lTazuc6piLZMx" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/Fvqpwfm8YupDmK4nU-_hjqpHpT3n" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"><img style="vertical-align: middle; max-width: 100%; width: 100%; box-sizing: border-box; height: auto !important;" src="https://pics-app.cnyw.net/FqrmeLkvEqKlzvXcvR_ARJpsk_OX" /></section></section><section style="text-align: center; margin-top: 10px; margin-bottom: 10px; line-height: 0; box-sizing: border-box;"><section class="empty_paragraph" style="max-width: 100%; vertical-align: middle; line-height: 0; box-sizing: border-box;"></section></section></section><p style="display: none;"> </p> <!----></div> 真危险 不痛不痒不影响日常生活谁会当回事惊险，幸好及时手术转危为安
92岁高龄还下地
"不能干活""不能用力"老人要焦虑了
多关心家中长辈的身体状况
这个病例真的让人捏了一把汗啊！
耄耋农翁腹隐疾，一朝肠梗阻生死
危险