Lucić J, Appel A
Acta Chir Iugosl. 1982;29 Suppl 2:46-50.
From, 1971-1979, 14 patients with non-traumatic perforations of the small intestine were treated in the Department of General and Abdominal Surgery of the Universitäts-klinik Frankfurt/Main. In 8 cases suture and by-pass, and/or interval operation with enterostomy was performed. Seven patients survived, one patient died. In 6 other patients resection with primary anastomosis or suture were performed. One patient survived and five patients died following peritonitis due to lack of the anastomosis. The problem of non traumatic perforation of the small intestine was discussed and corresponding literature was reviewed. It is suggested and corresponding literature was reviewed. It is suggested, that suture of perforation with by-pass or two stage operation with enterostomy is the operation of choice.
1971年至1979年期间，法兰克福大学医院普通及腹部外科收治了14例非创伤性小肠穿孔患者。其中8例行缝合及旁路手术和/或带肠造口的分期手术。7例患者存活，1例死亡。另外6例患者行一期吻合或缝合切除术。1例患者存活，5例患者因吻合口漏致腹膜炎死亡。文中讨论了非创伤性小肠穿孔问题并回顾了相关文献。建议采用穿孔缝合加旁路手术或带肠造口的二期手术，此为首选术式。 并回顾了相关文献。建议采用穿孔缝合加旁路手术或带肠造口的二期手术，此为首选术式。
