Raahave D, Hansen O H, Carstensen H E, Friis-Møller A
Acta Chir Scand. 1981;147(3):215-8.
Ninety-three patients for whom a colorectal operation was planned had their bowel prepared mechanically by orthograde irrigation. The tube was sited in the duodenum via the pylorus under X-ray and TV control. The procedure was discontinued in 2 patients (2%), 15 patients (16%) experienced nausea and vomiting, while 76 patients (82%) experienced no discomfort. The mean duration of the irrigation was 216 min (90-476 min) and the mean volume of fluid used 10.21 (5.0 -15.0 1). There were no significant differences between pre-irrigation and post-irrigation blood chemistry. Twenty-three patients developed postoperative abdominal wound sepsis (26.7%), 4 (4.7%) had an intraabdominal abscess; 9 out of 12 patients (75%) had perineal wound sepsis. Escherichia coli and Bacteroides were the dominant species cultured from colorectal mucosa during operation as well as from infected abdominal and perineal wounds. Although the irrigation technique seems to clean the bowel to a degree not previously seen, this in itself is no guarantee of avoiding post-operative wound sepsis after colorectal operations.
93例计划接受结直肠手术的患者通过顺行灌洗进行肠道机械准备。在X线和电视控制下，经幽门将导管置于十二指肠。2例患者（2%）手术中断，15例患者（16%）出现恶心和呕吐，而76例患者（82%）未感到不适。灌洗的平均持续时间为216分钟（90 - 476分钟），平均使用液体量为10.21升（5.0 - 15.0升）。灌洗前后血液化学指标无显著差异。23例患者发生术后腹部伤口感染（26.7%），4例（4.7%）发生腹腔内脓肿；12例患者中有9例（75%）发生会阴伤口感染。大肠杆菌和拟杆菌是手术期间从结直肠黏膜以及感染的腹部和会阴伤口培养出的主要菌种。尽管灌洗技术似乎能将肠道清洁到前所未有的程度，但这本身并不能保证避免结直肠手术后的伤口感染。
