Vayre P, Muller J M, Jost J L, Hillemand P
Sem Hop. 1976 Dec 16;52(43):2459-63.
The authors report 62 cases of operated diverticular sigmoiditis, note the indications for surgery and the method adopted. Apart from acute complications comparison of the clinical, laboratory and radiological data permit one to decide on a cold operation for prophylactic purposes. For acute generalised or localised peritonitis, the authors remove the lesions straight away when local and general conditions permit it. They emphasis the severity of the complications and the dealy with which these patients are still too often admitted on a surgical unit, which explins the persistently poor prognosis in spite of present conditions of resuscitation.
作者报告了62例接受手术治疗的乙状结肠憩室炎病例,指出了手术指征及采用的方法。除急性并发症外,通过对临床、实验室及放射学数据的比较,可决定出于预防性目的进行择期手术。对于急性弥漫性或局限性腹膜炎,作者在局部及全身情况允许时立即切除病变。他们强调了并发症的严重性以及这些患者仍常常在病情严重时才被收入外科病房,这解释了尽管目前有复苏条件,但预后仍持续不佳的原因。