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[胃单纯性及合并性烧伤的治疗]

[Treatment of isolated and combined burns of the stomach].

作者信息

Dolgorukov M I, E'lsinovskiĭ V I

出版信息

Vestn Khir Im I I Grek. 1989 Sep;143(9):78-80.

PMID:2617795
Abstract

Results of the surgical treatment of 31 patients with isolated and associated burn injuries of the stomach are presented. Resection of the stomach was performed on 24 patients (15 patients--by Billroth-1 and 9 patients--by Billroth-2 method). A necessary procedure is the intraoperative forced bougieurage under narcosis of the scarry esophagus. Two patients died: one of them after gastric resection, the second--after making collateral gastroenteroanastomosis from incompetent sutures of anastomosis, peritonitis. Successful treatment is dependent on the timely diagnosis and rational curative tactics.

摘要

本文介绍了31例单纯性及合并性胃烧伤患者的手术治疗结果。24例患者接受了胃切除术(15例采用毕罗一式,9例采用毕罗二式)。必要的操作是在麻醉下对瘢痕性食管进行术中强制探条扩张。2例患者死亡:1例在胃切除术后死亡,另1例在因吻合口缝合不当进行胃肠吻合旁侧吻合术后发生腹膜炎死亡。成功的治疗取决于及时诊断和合理的治疗策略。

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