Nemer F D, Hagihara P F, Mays E T, Griffen W O
Dis Colon Rectum. 1976 May-Jun;19(4):321-9. doi: 10.1007/BF02590928.
Twenty-six cases of colonic volvulus from the University of Kentucky Medical Center and the Lexington Veterans Administration Hospital, covering a ten-year period, are presented. Overall mortality was 19 per cent (5 of 26 patients). Cecal volvulus carried the greatest mortality, 30 per cent (3 of 10 patients), whereas sigmoidal volvulus had relatively low mortality rate of 7 per cent (1 or 15). A single patient who had volvulus of the transverse colon died. The most significant factor leading to death was not necrotic bowel but the necessity for emergency operation in these generally debilitated patients. A plan of management with the major aim to convert emergency situations into elective or urgent ones is presented with the expectation that the mortality rate can be improved.
本文介绍了来自肯塔基大学医学中心和列克星敦退伍军人管理局医院的26例结肠扭转病例，时间跨度为十年。总体死亡率为19%（26例患者中有5例）。盲肠扭转的死亡率最高，为30%（10例患者中有3例），而乙状结肠扭转的死亡率相对较低，为7%（15例中有1例）。1例横结肠扭转患者死亡。导致死亡的最重要因素不是肠坏死，而是这些普遍虚弱的患者需要进行急诊手术。本文提出了一项管理计划，主要目标是将紧急情况转变为择期或紧急情况，期望能提高死亡率。
