术中灌洗后结肠镜检查在严重结肠出血管理中的应用
Colonoscopy following intraoperative lavage in the management of severe colonic bleeding.
作者信息
Campbell W B, Rhodes M, Kettlewell M G
出版信息
Ann R Coll Surg Engl. 1985 Sep;67(5):290-2.
Abstract
Intraoperative lavage of the colon through a catheter inserted into the caecum provides a rapid means of cleansing the bowel of blood and clots to enable thorough colonoscopy in cases of severe colonic bleeding. This permits diagnosis of the site and cause of haemorrhage in those cases in which neither arteriography, conventional colonoscopy, nor laparotomy alone are helpful. Four cases are presented in which the technique of colonoscopy following intraoperative lavage allowed diagnosis and treatment in massive large bowel bleeding.
摘要
通过插入盲肠的导管对结肠进行术中灌洗，为清除肠内血液和血凝块提供了一种快速方法，以便在严重结肠出血的病例中能够进行彻底的结肠镜检查。这使得在动脉造影、传统结肠镜检查或单独剖腹手术均无帮助的情况下，能够诊断出血部位和原因。本文介绍了4例术中灌洗后行结肠镜检查技术用于诊断和治疗大量大肠出血的病例。
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