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[腹膜炎中恢复肠道运动功能的差异方法]

[Differential approach to restoring motor function of the intestines in peritonitis].

作者信息

Shal'kov Iu L, Koblandin S N

出版信息

Vestn Khir Im I I Grek. 1986 Apr;136(4):42-5.

PMID:3489310
Abstract

The authors have made a comparative estimation of the effectiveness of different methods of treatment of 330 patients with peritonitis with special reference to subdivision of motor disorders into 4 stages (compensated, subcompensated, decompensated stages and enteroplegia). It was established that sympatholytic drugs and continuous peridural anesthesia were effective in the compensated stage. Continuous intubation of the gastro-intestinal tract with the help of a rigid probe ensuring decompression in the postoperative period was the operation of choice in decompensated disturbances of the motor-evacuatory function.

摘要

作者对330例腹膜炎患者采用不同治疗方法的效果进行了比较评估,特别提及将运动障碍分为4个阶段(代偿期、亚代偿期、失代偿期和肠麻痹)。结果表明,在代偿期,交感神经阻滞药和持续硬膜外麻醉有效。在运动-排空功能失代偿性紊乱时,借助硬质探头持续进行胃肠道插管以确保术后减压是首选手术方式。

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