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机械性肠梗阻（作者译）

[Mechanical ileus (author's transl)].

作者信息

Dinstl K, Hofbauer F, Schiessel R, Tuchmann A

出版信息

Zentralbl Chir. 1976;101(23):1420-6.

PMID:65067
Abstract

UNLABELLED

181 patients with mechanical bowel obstruction were treated between 1965 and 1974 at the First Surgical Clinic of the University of Vienna. 172 were operated, 7 had conservative treatment.

RESULTS

  1. the mortality was 24,3% and infavorably influenced by a) advanced malignant tumors, b) age over 60 years, c) preexistent peritonitis. -2. Enterotomy for bowel-decompression was in no case followed by a complication.- 3. Nobles operation should be performed only totally and in cases of severe adhaesions. 4. Discussion of the one stage operation in large bowel obstruction, which is only indicated in patients with good general condition. The high letality of 47% after operations in cases with ileus due to carcinosis peritonei requires critical indications for these operations.
摘要

未标注

1965年至1974年间，维也纳大学第一外科诊所对181例机械性肠梗阻患者进行了治疗。172例接受了手术，7例接受了保守治疗。

结果

  1. 死亡率为24.3%，以下因素对其产生不利影响：a) 晚期恶性肿瘤，b) 60岁以上年龄，c) 既往存在腹膜炎。-2. 肠切开术用于肠减压，无一例出现并发症。-3. 诺布尔手术仅应在严重粘连的情况下完全进行。4. 讨论了大肠梗阻的一期手术，该手术仅适用于一般状况良好的患者。由于腹膜癌转移导致肠梗阻的患者术后死亡率高达47%，因此这些手术需要严格的适应症。

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[Value of the Miller-Abbott tube in the treatment of postoperative ileus].[米勒-阿伯特管在术后肠梗阻治疗中的价值]
Langenbecks Arch Chir. 1988;373(3):147-50. doi: 10.1007/BF01274226.
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[Conservative treatment of intestinal obstruction: prospects and limits. Experiences with 27 cases treated by Miller-Abbott-tubes inserted endoscopically (author's transl)].
Langenbecks Arch Chir. 1978 Dec 20;346(4):239-53. doi: 10.1007/BF01256403.