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[肠外瘘的治疗]

[Treatment of external intestinal fistulae].

作者信息

Ataev S D, Arbuliev M G, Khamidov A I

出版信息

Vestn Khir Im I I Grek. 1978 Apr;120(4):63-7.

PMID:654015
Abstract

The authors observed 105 cases of external intestinal fistula of various localization and found that the destruction of the intestinal wall under the conditions of suppurative peritonitis, together with the tampons and drainage tubes inserted into the abdominal cavity and left there for a long period of time, constitute the main causes of the occurrnce of intestinal fistula. Surgical treatment of a lip-shaped fistula (63 cases) of the small intestine and colon, mainly by the intraabdominal method, was carried out. Tubular fistula was closed conservatively in 22 cases. The intestinal motor activity was studied in 20 cases and potassium iodide resorption was investigated in the experiments on 20 animals. Some practically important recommendations are given.

摘要

作者观察了105例不同部位的肠外瘘,发现化脓性腹膜炎时肠壁的破坏,以及腹腔内长期留置的棉球和引流管,是肠瘘发生的主要原因。对63例小肠和结肠唇状瘘主要采用腹腔内手术治疗。22例管状瘘采用保守治疗。对20例患者进行了肠运动活性研究,并对20只动物进行了碘化钾吸收实验。给出了一些具有实际重要性的建议。

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