Römer K H, Reppin G, Franke B
Kinderchirurgischen Abteilung der Chirurgischen Klinik und Poliklinik der Medizinischen Akademie Magdeburg.
Zentralbl Chir. 1987;112(19):1228-41.
An account is given in this paper of intestinal intubation, the most promising approach at present to postoperative ileus. Reference is made to causes and to preventive methods used in the past. Classical techniques and their variants are described, with peculiarities being mentioned together with possible complications. Positive results have enlarged the list of intraabdominal diseases in which cases intubation should be justified. Fifteen children died out of 55 with intestinal intubation. However, those deaths could not be attributed to intubation, since no ileus was recordable on post-mortem from any of these cases. They were rather attribute to pre-existence of general damage or to postoperative complications which had unfavourable effects primarily on prematurely born children, newborns, and infants up to one month of age. Hence, intestinal intubation may be considered to be the most effective and least risky approach to the control of mechanical or combined paralytico-mechanical ileus.
本文介绍了肠道插管,这是目前治疗术后肠梗阻最有前景的方法。文中提及了过去肠梗阻的病因及预防方法。描述了经典技术及其变体,并提及了各自特点和可能出现的并发症。积极的治疗效果使得需要进行肠道插管的腹腔内疾病种类有所增加。55例接受肠道插管治疗的患儿中有15例死亡。然而,这些死亡不能归咎于插管,因为尸检时未发现这些病例存在肠梗阻。这些死亡更应归因于普遍存在的损害或术后并发症,这些对早产儿、新生儿及1个月龄以内的婴儿产生了不利影响。因此,肠道插管可被视为控制机械性或合并性麻痹性机械性肠梗阻最有效且风险最小的方法。