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伤寒热所致大量持续性肠道出血的急诊外科处理:3例报告

The emergency surgical management of massive and persistent intestinal haemorrhage due to typhoid fever: a report of 3 cases.

作者信息

Wong S H

出版信息

Br J Surg. 1978 Feb;65(2):74-5. doi: 10.1002/bjs.1800650203.

Abstract

The classic approach to the management of intestinal haemorrhage due to typhoid infection has been conservative, with sedation, rest to the intestine, blood transfusion and antibiotics. However, in the event of massive and persistent haemorrhage which does not respond to conservative measures, emergency resection should be considered. Surgical resection by removing the major ulcer-bearing areas will stop the bleeding and the intestine is not friable.

摘要

伤寒感染所致肠道出血的经典治疗方法一直较为保守,包括镇静、让肠道休息、输血及使用抗生素。然而,若出现大量持续性出血且保守治疗无效,则应考虑紧急切除。通过切除主要溃疡部位进行手术切除可止血,且肠道并不脆弱。

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