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[肠梗阻的外科治疗]

[Surgical treatment of intestinal obstruction].

作者信息

Chaib E, Toniolo C H, Figueira N C, Santana L L, Onófrio P L, de Mello J B

机构信息

Departamento de Gastroenterologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.

出版信息

Arq Gastroenterol. 1990 Oct-Dec;27(4):182-6.

PMID:2133192
Abstract

The etiology of intestinal obstruction (I.O.) has changed markedly since the beginning of this century. In this series, the authors studied 121 cases of I.O. treated surgically; adhesions were the commonest cause of high intestinal obstruction, accounting for 43.03 percent in a total of 79 patients, with hernia being the obstruction lesion in 16.45 percent. Colo-rectal cancer were the commonest cause of low intestinal obstruction accounted for 73.81 percent, with volvulus of the sigmoid colon in 14.28 percent. Complications occurred in 15.7 percent of patients following operative intervention; wound infection was the most common postoperative complication. The overall operative mortality was 9.09 percent.

摘要

自本世纪初以来,肠梗阻(I.O.)的病因已发生显著变化。在本系列研究中,作者对121例接受手术治疗的肠梗阻患者进行了研究;粘连是高位肠梗阻最常见的原因,在79例患者中占43.03%,疝气导致梗阻病变的占16.45%。结直肠癌是低位肠梗阻最常见的原因,占73.81%,乙状结肠扭转的占14.28%。手术干预后15.7%的患者出现并发症;伤口感染是最常见的术后并发症。总体手术死亡率为9.09%。

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