TALBOT C H
Gut. 1960 Mar;1(1):76-80. doi: 10.1136/gut.1.1.76.
Five cases of volvulus of varying lengths of the small intestine are described. The incidence and the aetiology of the condition are briefly discussed. Shock as a feature of extensive volvulus is stressed, and its cause in these cases is related to the previous animal experimental work of others. The other clinical features are briefly described. In the management of these cases the urgency for laparotomy is stressed and immediate delivery from the abdomen of the whole small bowel is advocated. Reference is made to the literature of massive resection of the small intestine to illustrate that the prognosis is not necessarily poor when resections are extensive.
本文描述了5例不同长度小肠扭转的病例。简要讨论了该病的发病率和病因。强调了休克作为广泛扭转的一个特征,并将这些病例中休克的原因与其他人先前的动物实验工作联系起来。简要描述了其他临床特征。在这些病例的处理中,强调了剖腹手术的紧迫性,并主张立即将整个小肠从腹腔中取出。引用了小肠大量切除的文献来说明,当切除范围广泛时,预后不一定很差。