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[结肠自发性穿孔所致急腹症]

[Acute abdomen caused by spontaneous perforation of the colon].

作者信息

Balotta F, Ghidotti G, Pecchia G, Santoro A

出版信息

Minerva Chir. 1981;36(1-2):27-38.

PMID:7019756
Abstract

The literature on simple ulcer of the colon is reviewed. Three successfully treated cases of spontaneous perforation of the colon due to ulcer of the sigmoid, and single and multiple ulceration of the caecum are described, with particular reference to their aetiopathogenesis. The view that simple ulcer is caused by mechanical and circulatory factors, with or without inflammation, is expressed. Surgical management of this lesion must take the patient's age and local and general condition into account. These parameters will determine the type of operation employed, ranging from simple colorrhaphy to variously extensive resection of the perforated segment.

摘要

本文对结肠单纯性溃疡的文献进行了综述。描述了3例因乙状结肠溃疡导致结肠自发性穿孔成功治愈的病例,以及盲肠单发和多发溃疡的病例,并特别提及了它们的病因发病机制。文中表达了这样的观点,即单纯性溃疡是由机械和循环因素引起的,无论有无炎症。对该病变的手术治疗必须考虑患者的年龄以及局部和全身状况。这些参数将决定所采用的手术类型,从简单的结肠缝合术到对穿孔段进行不同程度的广泛切除。

相似文献

1
[Acute abdomen caused by spontaneous perforation of the colon].[结肠自发性穿孔所致急腹症]
Minerva Chir. 1981;36(1-2):27-38.
2
[Pathological rupture of the colon].[结肠病理性破裂]
Harefuah. 1973 Apr 15;84(8):445-8.
3
[Perforated cecum diverticulum as cause for acute abdomen].
Schweiz Rundsch Med Prax. 1990 Dec 11;79(50):1573-4.
4
[Clinical contribution to perforations of simple ulcer of the sigmoid colon (4 cases)].[乙状结肠单纯性溃疡穿孔的临床研究(4例报告)]
Rass Int Clin Ter. 1967 Feb 15;47(3):156-61.
5
[Simple ulcer of the colon. Considerations on a case].[结肠单纯性溃疡。关于一例病例的思考]
Minerva Chir. 1980 May 15;35(9):661-8.
6
[Solitary perforated diverticulum of the cecum: a case report].
G Chir. 2004 May;25(5):191-3.
7
Scleroderma and intestinal perforation.
Am J Gastroenterol. 1977 Dec;68(6):566-71.
8
[Peritonitis caused by perforation of the colon (simple acute ulcer?)].[结肠穿孔引起的腹膜炎(单纯急性溃疡?)]
Bord Chir. 1965 Apr;2:71-2.
9
[On an infrequent cause of acute abdomen. Multiple diastatic perforation of the ascending cecum caused by stenosing carcinoma of the transverse colon].[关于急性腹痛的一种罕见病因。横结肠癌致升结肠多处分离性穿孔]
Minerva Chir. 1967 Aug 31;22(16):906-12.
10
[Perforation of the caecum. Complication of acute idiopathic dilatation of the colon (Ogilvie's syndrome). Practical interest of a few pathogenic data. Report of one case (author's transl)].
Ann Chir. 1978 Feb;32(2):187-90.