Sheldon Rowan, Eckert Matthew
Madigan Army Medical Center, Department of Surgery, General Surgery, MCHJ-CLS-G, Tacoma, WA 98431, USA.
Madigan Army Medical Center, Department of Surgery, General Surgery, MCHJ-CLS-G, Tacoma, WA 98431, USA.
Surg Clin North Am. 2017 Dec;97(6):1425-1447. doi: 10.1016/j.suc.2017.08.002.
Critical illness and injury affect the gastrointestinal tract almost uniformly. Complications include the sequelae of direct intestinal injury and repair, impaired motility, intra-abdominal hypertension, and ulceration, among others. Contemporary clinical practice has incorporated many advances in the prevention and treatment of gastrointestinal complications during critical illness. This article discusses the epidemiology, risk factors, means of diagnosis, treatment, and prevention of some of these compilations.
危重病和损伤几乎会无一例外地影响胃肠道。并发症包括直接肠道损伤及修复的后遗症、动力障碍、腹腔内高压和溃疡等。当代临床实践在危重病期间胃肠道并发症的预防和治疗方面已有诸多进展。本文讨论了其中一些并发症的流行病学、危险因素、诊断方法、治疗及预防。