Riabtsev V G, Dzheĭranov F D, Aliev M Ia, Myslovatyĭ B S, Masiukevich A V
Khirurgiia (Mosk). 1989 Feb(2):3-7.
The article discusses the results of complex surgical treatment of 108 patients with acute intestinal obstruction which was caused by benign lesions in 64 and by malignant tumors of the rectum in 44 patients. Twenty-three persons (21.2%) died after palliative and radical operations. The main causes of death were intoxication (52.2% of fatal cases) and peritonitis (26.1%). Hemosorption is the most effective measure for the prevention and treatment of the endogenous intoxication syndrome in the postoperative period. A brief therapeutic effect or inefficacy of hemosorption is evidence of persistence of the pathological process in the abdominal cavity.
本文讨论了108例急性肠梗阻患者的综合手术治疗结果,其中64例由良性病变引起,44例由直肠恶性肿瘤引起。23人(21.2%)在姑息性和根治性手术后死亡。主要死亡原因是中毒(占致命病例的52.2%)和腹膜炎(26.1%)。血液吸附是预防和治疗术后内源性中毒综合征最有效的措施。血液吸附的短暂治疗效果或无效是腹腔内病理过程持续存在的证据。