手术在感染中的作用。
Role of Surgery in Infection.
作者信息
Vely Aela, Ferrada Paula
机构信息
Division of Acute Care Surgical Services, Virginia Commonwealth University, Richmond, Virginia.
出版信息
Clin Colon Rectal Surg. 2020 Mar;33(2):87-91. doi: 10.1055/s-0040-1701232. Epub 2020 Feb 25.
Abstract
(reclassified as " ") infection (CDI) occurs as a chronic or an acute illness with intensity varying from mild to severe. Although most cases of CDI can be managed with antibiotics and supportive care, when the patient presents with fulminant disease, the early decision to perform surgery is imperative for survival. The current standard of care is the subtotal colectomy. However, loop ileostomy with vancomycin enemas delivered into the colonic mucosa has been described as a viable option on selected patients.
摘要
（重新分类为“ ”）感染（CDI）表现为慢性或急性疾病，严重程度从轻度到重度不等。虽然大多数CDI病例可用抗生素和支持性护理进行处理，但当患者出现暴发性疾病时，尽早决定进行手术对生存至关重要。目前的护理标准是次全结肠切除术。然而，对于部分患者，经结肠黏膜给予万古霉素灌肠的袢式回肠造口术已被描述为一种可行的选择。
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