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[小肠插管治疗腹膜炎和肠梗阻患者]

[Small intestine intubation for treatment of patients with peritonitis and intestinal obstruction].

作者信息

Petrov V P, Kuznetsov I V, Domnikova A A

出版信息

Khirurgiia (Mosk). 1999(5):41-4.

Abstract

The analysis of 36 case records of patients with peritonitis (n = 12) and intestinal obstruction (n = 24) is presented. Nasogastrointestinal intubation of the small bowel was used in combined treatment. The aims, indications and contraindications for the intubation are formulated. Bacteriologic and biochemical parameters of bowel content were studied. It was established that the quantity of enterobacteria and unfermenting gram-negative bacteria was increased in intestinal paresis, the alkaline phosphatase, amylase, bilirubin, transaminase, a potassium content were increased as well. For the tube to function from the first hours after its introduction it should be periodically properly washed with sodium hypochlorite in concentration 300 mg/l.

摘要

本文对36例腹膜炎患者(n = 12)和肠梗阻患者(n = 24)的病例记录进行了分析。联合治疗中采用了小肠鼻胃肠插管。阐述了插管的目的、适应证和禁忌证。研究了肠内容物的细菌学和生化参数。结果表明,肠麻痹时肠杆菌和非发酵革兰氏阴性菌数量增加,碱性磷酸酶、淀粉酶、胆红素、转氨酶及钾含量也增加。为使导管在插入后的最初几小时内发挥作用,应定期用浓度为300 mg/l的次氯酸钠进行适当冲洗。

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