Manger T, Winkler H
Klinik für Chirurgie, Bereichs Medizin (Charité), Humboldt-Universität zu Berlin.
Zentralbl Chir. 1990;115(12):749-55.
Seventy-six patients were treated for postoperative ileus of the small intestine, between 1983 and 1987. Forty-four of them received intraluminal intestinal intubation, with indications being established by stringent criteria. One case of recurrent ileus was recorded eight weeks after removal of the Miller-Abbott tube, but no tube-related lethality was observed. The average age of our patients was as low as 49 years. Post-operative lethality amounted to 21.2 percent (eight in 44). Ileus was not removed until death in three cases. Intraluminal intestinal intubation may be recommended after long-distance lysis of adhesions for postoperative ileus of the small intestine as well as in cases of severe ileus in concomitance with controllable peritonitis.
1983年至1987年间,76例患者接受了小肠术后肠梗阻的治疗。其中44例接受了肠腔内插管,插管指征依据严格标准确定。拔除米勒-雅培管8周后记录到1例复发性肠梗阻,但未观察到与插管相关的死亡病例。我们患者的平均年龄低至49岁。术后死亡率为21.2%(44例中有8例)。3例患者直至死亡肠梗阻仍未解除。对于小肠术后肠梗阻,在进行远距离粘连松解后以及在伴有可控性腹膜炎的严重肠梗阻病例中,可推荐采用肠腔内插管。