Bashankaev N A, Rumiantsev V G, Kirkin B V
Klin Khir (1962). 1990(2):31-2.
The results of surgical treatment of 103 patients with inflammatory diseases of the colon were analysed. An unfavourable outcome was noted in presence before the operation of the disease complications, and deep metabolic disorders as well. A decrease in the level of serum albumins and hematocrit, increase in the leukocytic count and seromucoid level were prognostically informative. The use of endolymphatic antibiotic therapy in 66 patients operated on with increased risk for the development of complications permitted to reduce lethality after elective operations from 10% (in using the conventional methods of treatment) to 3.3%, after emergency operations--from 75 to 33.3%, respectively. The incidence of postoperative purulent complications has reduced significantly.
对103例结肠炎症性疾病患者的手术治疗结果进行了分析。术前存在疾病并发症以及严重代谢紊乱时，预后不佳。血清白蛋白水平和血细胞比容降低、白细胞计数和血清类粘蛋白水平升高具有预后提示意义。对66例手术并发症发生风险增加的患者采用内淋巴抗生素治疗，可使择期手术后的死亡率从10%（采用传统治疗方法时）降至3.3%，急诊手术后的死亡率分别从75%降至33.3%。术后化脓性并发症的发生率显著降低。
