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[热带环境下急诊结肠手术的适应症及策略要点]

[Indications and tactical aspects of emergency colonic surgery in a tropical environment].

作者信息

Clerget-Gurnaud J M, Vavdin F, Andre J L

出版信息

Med Trop (Mars). 1987 Jan-Mar;47(1):39-45.

PMID:3586971
Abstract

As 92 emergency operations of the colon have been carried out, a record is given of their indications, the most prevailing being, in Africa, intussusceptions and volvulus of the pelvic colon. Out of 64 exercises and colic derivations, 42 ideal colectomies are used as a ground for the analysis of the requirements and limits of this emergency operation. As out of the 7 fistulas they have observed, 6 of them have been outcomes of exeresis of necrosed colic segments, the authors in accordance with the newest bibliographic data, emphasize the importance of mastering the anastomosis technique.

摘要

由于已进行了92例结肠急诊手术,现记录其适应症,在非洲最常见的是盆腔结肠套叠和肠扭转。在64例造口术和结肠绞痛引流术中,42例理想的结肠切除术被用作分析该急诊手术的要求和局限性的依据。由于他们观察到的7例瘘管中,有6例是坏死结肠段切除的结果,作者根据最新的文献数据,强调了掌握吻合技术的重要性。

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