Pakhomova G V, Skvortsov A V, Khvatov V B
Khirurgiia (Mosk). 1989 May(5):63-7.
Data obtained in examination of 195 patients are analysed. The most marked changes in the homeostasis system in patients with intestinal obstruction due to cancer of the colon are related to hydro-ion and protein metabolism, acid-base equilibrium, and blood toxic properties. This requires purposeful preoperative management which allows the results of operative treatment to be improved. Characteristic changes of the absorptive property of the small intestine are of principal importance in the genesis of intoxication in these patients. The authors emphasize the important role of decompression of the intestine and intestinal lavage in the complex of therapeutic measures.
对195例患者检查所获得的数据进行了分析。结肠癌所致肠梗阻患者体内稳态系统最显著的变化与水电解质和蛋白质代谢、酸碱平衡及血液毒性有关。这就需要有针对性的术前处理,以提高手术治疗效果。小肠吸收功能的特征性变化在这些患者中毒的发生过程中起主要作用。作者强调肠道减压和肠道灌洗在综合治疗措施中的重要作用。