Dolgorukov M I, E'lsinovskiĭ V I
Vestn Khir Im I I Grek. 1989 Sep;143(9):78-80.
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.
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。