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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.

DOI:10.1002/bjs.1800650203
PMID:304750
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。

相似文献

1
The emergency surgical management of massive and persistent intestinal haemorrhage due to typhoid fever: a report of 3 cases.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
Br J Surg. 1978 Feb;65(2):74-5. doi: 10.1002/bjs.1800650203.
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Massive lower gastrointestinal bleeding in patients with typhoid fever.伤寒患者的大量下消化道出血
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Bleeding cecal typhoid ulcer. Value of emergency angiography for selective surgical hemostasis.盲肠伤寒溃疡出血。急诊血管造影术在选择性手术止血中的价值。
Hepatogastroenterology. 1983 Dec;30(6):266-7.
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Successful endoscopic hemoclipping and conservative management for typhoid fever complicated by massive intestinal bleeding and acute pancreatitis: Case report.成功运用内镜下止血夹及保守治疗伤寒热合并大量肠道出血及急性胰腺炎:病例报告
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[Reappearance of severe typhoid forms following a case of massive gastrointestinal haemorrhaging].[一例大量胃肠道出血后严重伤寒形式的再现]
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引用本文的文献

1
Treatment of bleeding typhoid ulcer of the terminal ileum and cecum.回肠末端和盲肠出血性伤寒溃疡的治疗。
World J Surg. 1981 Mar;5(2):295-7. doi: 10.1007/BF01658320.
2
Massive colonic haemorrhage--the case for right hemicolectomy.大量结肠出血——右半结肠切除术的病例分析
Ann R Coll Surg Engl. 1989 Jul;71(4):253-9.