Kjaergaard J, Fischer A B, Baden H
Acta Chir Scand. 1984;150(3):255-7.
A consecutive series of 19 patients with acute perforation of the sigmoid colon, were subjected to Hartmann's procedure. The rationale for primary resection of the diseased segment of the bowel is to remove the source of sepsis. The operation took approximately 2 1/4 hours, the temperature was normalized within 2 days and the hospital stay was 22 days. The perforations were caused by cancer in 4 patients. Half of the patients developed postoperative complications, mainly wound sepsis. There was one postoperative death, caused by pulmonary embolism. Approximately three months later a colorectal anastomosis was performed on 11 patients. Our experience confirms that Hartmann's procedure is the treatment of choice for patients with acute perforation of the sigmoid colon.
连续19例乙状结肠急性穿孔患者接受了哈特曼手术。对病变肠段进行一期切除的基本原理是去除感染源。手术耗时约2又1/4小时，体温在2天内恢复正常，住院时间为22天。4例患者的穿孔由癌症引起。一半患者出现术后并发症，主要是伤口感染。有1例术后死亡，由肺栓塞所致。大约三个月后，对11例患者进行了结直肠吻合术。我们的经验证实，哈特曼手术是乙状结肠急性穿孔患者的首选治疗方法。
