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