Marincaş M, Bratucu E, Straja D, Daha C, Boru C
Clinica de Chirurgie Digestivă, Spitalul Clinic Caritas, Str. Traian nr.29, Sector 3, Bucureşti.
Chirurgia (Bucur). 2003 Mar-Apr;98(2):143-7.
The authors present a retrospective clinical study done on a 13-pacients basis diagnosed during surgery with acute necrotizing enteritis. This study follows the complexity of pathogenic factors and the difficulties one confronts with when establishing a diagnosis since the clinical manifestations are non-specifical and shows the contribution of laboratory data to an earliest possible diagnosis. Both medical and surgical treatment are analyzed depending on the results achieved with an attempt to determine a therapeutic approach as beneficial as possible, aiming at making clear either enterectomy or a conservatory surgical decision should be made. Mortality rate under such therapeutical approach was 38%.
作者介绍了一项对13例在手术中被诊断为急性坏死性肠炎的患者进行的回顾性临床研究。该研究追踪了致病因素的复杂性以及在建立诊断时所面临的困难，因为临床表现不具有特异性，并展示了实验室数据对尽早诊断的作用。根据所取得的结果对药物治疗和手术治疗进行了分析，试图确定一种尽可能有益的治疗方法，目的是明确应进行肠切除术还是采取保守的手术决策。在这种治疗方法下的死亡率为38%。
