急诊切除治疗结肠憩室病合并腹膜炎
Emergency resection in treatment of diverticular disease of colon complicated by peritonitis.
作者信息
Roxburgh R A, Dawson J L, Yeo R
出版信息
Br Med J. 1968 Aug 24;3(5616):465-6. doi: 10.1136/bmj.3.5616.465.
Abstract
Of a consecutive series of 25 patients with peritonitis secondary to colonic diverticular disease all, except one with faecal peritonitis, underwent some form of emergency resection.All the three patients with faecal peritonitis died, but the 22 with purulent peritonitis survived. The average duration of the emergency admission of the 22 survivors was 25.4 days, and in nine (41%) of them intestinal continuity had been restored by the end of that admission.Thus some form of emergency resection is the operation of choice in patients with spreading peritonitis due to diverticular disease of the sigmoid colon.
摘要
在连续收治的25例结肠憩室病继发腹膜炎患者中，除1例粪性腹膜炎患者外，其余均接受了某种形式的急诊手术。3例粪性腹膜炎患者均死亡，但22例脓性腹膜炎患者存活。22例存活患者急诊住院的平均时长为25.4天，其中9例（41%）在此次住院结束时恢复了肠道连续性。因此，对于乙状结肠憩室病导致的弥漫性腹膜炎患者，某种形式的急诊手术是首选术式。
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