Appel A, Lucic J
Chirurg. 1979 May;50(5):318-21.
From 1970 to 1978, 14 patients with nontraumatic perforations of the small intestine were treated in the Department of General and Abdominal Surgery of the University Frankfurt am Main. In eight cases suture and bypass and/or interval operation with enterostomy was performed. Seven patients survived, one died. In the six other patients resection with primary anastomosis or suture were performed. One patient survived and five patients died following peritonitis due to insufficiency of the anastomosis. The problem of nontraumatic perforation of the small intestine is discussed and the literature reviewed. It is suggested that the operation of choice is suture of the perforation with bypass or the two-stage operation with enterostomy.
1970年至1978年间，美因河畔法兰克福大学普通及腹部外科收治了14例非创伤性小肠穿孔患者。其中8例行缝合及旁路手术和/或带肠造口术的分期手术。7例存活，1例死亡。另外6例患者行一期吻合或缝合切除术。1例存活，5例因吻合口漏致腹膜炎死亡。本文讨论了非创伤性小肠穿孔问题并回顾了相关文献。建议首选术式为穿孔缝合加旁路手术或带肠造口术的两期手术。
