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[小肠肠梗阻的手术治疗,特别提及晚期肿瘤疾病患者]

[Operative therapy of small intestine ileus with special reference to patients with advanced tumor disease].

作者信息

Bittner R, Butters M, Windmiller W, Roscher R, Karle C

出版信息

Langenbecks Arch Chir. 1985;366:579-83. doi: 10.1007/BF01836709.

DOI:10.1007/BF01836709
PMID:2414622
Abstract

Between 1979 and 1984 a total of 233 patients underwent surgical treatment of small bowel obstruction. In 43 patients (18.4%) the obstruction was caused by an advanced tumor disease (peritoneal carcinosis, local recurrence). In patients with benign obstruction the operative mortality was 5.2%; in the tumor patients it was 14%. Wound infection and cardio-pulmonary disturbances were the most frequent complications. The mean survival time of the tumor patients was 159 days. In 65% of these patients the operation had a significant palliative effect.

摘要

1979年至1984年间,共有233例患者接受了小肠梗阻的外科治疗。其中43例患者(18.4%)的梗阻由晚期肿瘤疾病(腹膜癌、局部复发)引起。良性梗阻患者的手术死亡率为5.2%;肿瘤患者的手术死亡率为14%。伤口感染和心肺功能障碍是最常见的并发症。肿瘤患者的平均生存时间为159天。这些患者中有65%的手术具有显著的姑息效果。

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