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[急诊肠切除术后造口术]

[Enterostomy post emergency enterectomy].

作者信息

Gavrilescu S, Velicu D, Gheorghiu L, Duţescu S

机构信息

Clinica de Chirurgie Generală, Spitalul Clinic de Urgenţă Bagdasar-Arseni, Sos. Berceni nr. 10, Bucureşti.

出版信息

Chirurgia (Bucur). 2002 Sep-Oct;97(5):441-5.

PMID:12731244
Abstract

This is a clinical approach regarding 43 resection of intestine, performed in emergency condition, terminated as enterostomy, with represent 20% of enterectomyes performed in emergency condition and 1.6% of urgent operations. The decision of enterostomy has been taken in the conditions of peritoneal sepsis, occlusion or the association of the two circumstances. The results are comparatively analyzed between the cases with enterostomy that has been made from the beginning (66% success, 33% gone wrong), and those with enterostomy made at the second intervention (14% success, 86% gone wrong). One discusses problems of leading, technique and post-operating nursing. The intestinal reintegration has been made possible at 16 patients after a timing of three of four weeks.

摘要

这是一种关于43例肠道切除术的临床方法,该手术在紧急情况下进行,最终行肠造口术,占紧急情况下肠切除术的20%,占急诊手术的1.6%。肠造口术的决定是在腹膜脓毒症、肠梗阻或两种情况并存的条件下做出的。对一开始就进行肠造口术的病例(66%成功,33%失败)和在第二次干预时进行肠造口术的病例(14%成功,86%失败)的结果进行了比较分析。讨论了手术指导、技术和术后护理问题。在三到四周的时间后,16例患者实现了肠道再吻合。

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