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[肠-肠吻合口功能不全发病机制中的血液微循环障碍]

[Hemomicrocirculatory disorders in pathogenesis of entero-enteroanastomosis insufficiency].

作者信息

Miliukov V E, Sapin M R, Efimenko N A

出版信息

Khirurgiia (Mosk). 2003(8):35-8.

Abstract

Morphofunctional changes of hemomicrocirculation in the walls of the small intestine in acute strangulation intestinal obstruction and after its surgical elimination were studied experimentally on 60 mongrel dogs (weight 7-20 kg). It is demonstrated that main causes of complications in postoperative period were disorders of microcirculation in the walls of the small intestine and inflammation in the bringing part of the small intestine. On day 3 to 7 after elimination of strangulation intestinal obstruction hemomicrocirculation in tissues of bringing loop of small intestine did not meet the requirements for reparation after resection of necrotic part and creation of entero-enteroanastomosis. This is the cause of insufficiency of entero-enteroanastomosis in this time interval.

摘要

在60只体重7 - 20千克的杂种狗身上进行实验研究,观察急性绞窄性肠梗阻时小肠壁血液微循环的形态功能变化及其手术解除梗阻后的情况。结果表明,术后并发症的主要原因是小肠壁微循环紊乱以及小肠供血部位的炎症。在解除绞窄性肠梗阻后的第3至7天,小肠供血肠袢组织中的血液微循环不符合切除坏死部分并进行端端吻合术后修复的要求。这就是在此时间段内端端吻合口功能不全的原因。

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