Chernov V N, Belik B M
Khirurgiia (Mosk). 1999(5):45-8.
A comparative analysis of the results of treatment in 892 patients with various forms of acute bowel obstruction (ABO) of non-tumor genesis has been performed. High informative values of the intraoperative biomicroscopy of bowel wall for evaluation of severity of ischemic damage and viability of the intestine in ABO. The endotoxicosis (ET) in patients with ABO is proposed to be assessed on the basis of integral assessment of clinical and laboratory values of hemostasis. Basic principles of the choice of surgical policy and methods of detoxication in ABO with regard for the grade of ischemic damage of the bowel wall and the ET level are described. The application of the developed methods in patients with ABO allows to avoid mistakes in evaluation of bowel viability, to reduce the rate of development of toxicoseptic shock from 9.8% to 4.7% and to decrease postoperative lethality rate from 12.7% to 6.5%.
对892例非肿瘤性病因所致各种类型急性肠梗阻（ABO）患者的治疗结果进行了对比分析。肠壁术中生物显微镜检查对于评估ABO患者缺血性损伤的严重程度和肠管活力具有很高的信息价值。建议根据止血的临床和实验室指标的综合评估来评估ABO患者的内毒素血症（ET）。描述了根据肠壁缺血损伤程度和ET水平选择ABO手术策略及解毒方法的基本原则。在ABO患者中应用所开发的方法可避免在评估肠管活力时出现错误，将中毒性休克的发生率从9.8%降至4.7%，并将术后死亡率从12.7%降至6.5%。
