憩室炎的急诊处理
Emergency management of diverticulitis.
作者信息
Baxter Nancy N
机构信息
Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN 55455, USA.
出版信息
Clin Colon Rectal Surg. 2004 Aug;17(3):177-82. doi: 10.1055/s-2004-832699.
Abstract
Diverticulitis is a common problem, and although most cases will respond to conservative measures, surgeons will frequently need to treat patients requiring emergency surgery. Surgical management has progressed over the past 30 years, with a change in practice from routine drainage and proximal diversion (necessitating two further major procedures) to primary resection and anastomosis in selected cases. In 2004, surgeons must use clinical judgment to determine which approach will optimize outcomes both in terms of morbidity and mortality and in terms of quality of life for their patients.
摘要
憩室炎是一个常见问题，尽管大多数病例对保守治疗有效，但外科医生常常需要治疗那些需要急诊手术的患者。在过去30年里，外科治疗方法不断发展，做法已从常规引流和近端转流术（这需要另外进行两次大手术）转变为在特定病例中进行一期切除吻合术。2004年，外科医生必须运用临床判断力来确定哪种方法能在发病率、死亡率以及患者生活质量方面使治疗效果达到最佳。
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