Reynaert M S, Otte J B, Kestens P J, Schmitz C, Tremouroux J
Acta Chir Belg. 1981 Jan-Feb;80(1):27-35.
Fourteen cases of digestive fistulas, complicated by a dehiscence of the laparotomy wound, are described. Ten patients have a single fistula and 4 have multiple digestive fistulas. There were eleven survivors. This represents a mortality of 21.4%. In 9 cases, the spontaneous recovery of the fistulated zone is followed by a losing of the laparotomy wound. In 2 cases, surgical intervention was necessary to permit the recovery of the fistula and of the dehiscence of the laparotomy. The treatment of such patients requires a mean hospitalization in an intensive care ward of about 48 days +/- 25.8 (SD). The authors report the different therapeutic aspects : the nutritional support, the control of the infection and of the locoregional and systemic complications.
本文描述了14例并发剖腹手术切口裂开的消化瘘病例。10例患者为单个瘘，4例为多个消化瘘。有11例存活。死亡率为21.4%。9例中，瘘管区自发愈合后出现剖腹手术切口裂开。2例需要手术干预以使瘘管和剖腹手术切口裂开得以愈合。此类患者的治疗平均需要在重症监护病房住院约48天±25.8（标准差）。作者报告了不同的治疗方面：营养支持、感染控制以及局部和全身并发症的处理。
