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[缝线不足的诊断——临床、实验室及X线检查结果与特殊检查]

[Diagnosis of suture insufficiency--clinical, laboratory and x-ray findings and special examinations].

作者信息

Häring R, Semsch B, Vosberg W

出版信息

Langenbecks Arch Chir. 1982;358:265-9. doi: 10.1007/BF01271796.

DOI:10.1007/BF01271796
PMID:7169871
Abstract

Early recognition of a suture insufficiency in the small or large intestine is important for systematic therapy. Apart from consideration of drainage secretion, assessment of general condition and of the abdomen are the most important diagnostic measures. These can be supplemented by laboratory findings of leucocytosis, thrombocytopenia, and respiratory alkalosis. Additional measures are Gastrografin tests, endoradiography, digital and rectoscopic examination, and possibly also computer tomography and sonography.

摘要

早期识别小肠或大肠的缝合线不足对于系统治疗很重要。除了考虑引流分泌物外,评估全身状况和腹部情况是最重要的诊断措施。这些可通过白细胞增多、血小板减少和呼吸性碱中毒的实验室检查结果加以补充。其他措施包括泛影葡胺试验、内镜放射检查、指诊和直肠镜检查,可能还包括计算机断层扫描和超声检查。

相似文献

1
[Diagnosis of suture insufficiency--clinical, laboratory and x-ray findings and special examinations].[缝线不足的诊断——临床、实验室及X线检查结果与特殊检查]
Langenbecks Arch Chir. 1982;358:265-9. doi: 10.1007/BF01271796.
2
[Detection of suture insufficiency in intensive care patients].[重症监护患者缝线不足的检测]
Langenbecks Arch Chir. 1982;358:271-4. doi: 10.1007/BF01271797.
3
Limitations and dangers of gastrografin swallow after esophageal and upper gastric operations.食管及上腹部胃手术后吞服泛影葡胺的局限性与风险
Am J Surg. 1988 Mar;155(3):495-7. doi: 10.1016/s0002-9610(88)80121-1.
4
[Detection of insufficiencies of enteroenteral anastomoses following gastrectomies by studies with water soluble contrast media--time and study quality].[通过水溶性造影剂研究检测胃切除术后肠肠吻合口功能不全——时间与研究质量]
Rontgenblatter. 1985 Nov;38(11):356-8.
5
[Prevention of intraperitoneal suture insufficiency (small and large intestine)].
Langenbecks Arch Chir. 1982;358:259-63. doi: 10.1007/BF01271794.
6
The effects of gastrografin in postoperative intestinal anastamoses in animals.
Curr Surg. 1984 Mar-Apr;41(2):92-4.
7
[A clinical-radiological investigation concerning the accuracy of diatrizoate (Gastrografin) in the demonstration of anastomosis dehiscence and perforation of the gastro-intestinal tract (author's transl)].关于泛影葡胺( Gastrografin )在显示胃肠道吻合口裂开和穿孔准确性的临床 - 放射学研究(作者译)
Rofo. 1976 Jan;124(1):48-51. doi: 10.1055/s-0029-1230280.
8
[Suture insufficiency of enteroanastomoses: overview paper].[肠吻合术的缝线不足:综述文章]
Langenbecks Arch Chir. 1982;358:247-52. doi: 10.1007/BF01271792.
9
Aetiology of disruption of intestinal anastomoses.肠吻合口破裂的病因
Br J Surg. 1973 Jun;60(6):461-4. doi: 10.1002/bjs.1800600612.
10
[Postoperative sonography in gastrectomized patients. Correlations with gastrografin swallow. Value in the detection of complications with special reference to anastomosis insufficiency].[胃癌切除术后患者的超声检查。与泛影葡胺吞咽造影的相关性。对检测并发症尤其是吻合口漏的价值]
Rontgenblatter. 1989 Nov;42(11):470-7.

引用本文的文献

1
[Diagnosis and definition of anastomotic leakage from the radiologist's perspective].[从放射科医生角度看吻合口漏的诊断与定义]
Chirurg. 2011 Jan;82(1):56-67. doi: 10.1007/s00104-010-1899-1.

本文引用的文献

1
Effect of bacterial endotoxins on carbohydrate metabolism of rabbits.细菌内毒素对家兔碳水化合物代谢的影响。
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2
A RAPID BEDSIDE TEST FOR INTESTINAL PERFORATON.一种用于肠穿孔的快速床边检测方法。
JAMA. 1965 Mar 15;191:939-41. doi: 10.1001/jama.1965.03080110063023.
3
Anastomotic dehiscence after anterior resection of rectum and sigmoid.直肠和乙状结肠前切除术后吻合口裂开
Br J Surg. 1970 Feb;57(2):109-18. doi: 10.1002/bjs.1800570208.
4
[A simple method for the demonstration of perforation and anastomosis insufficiency in the gastrointestinal system].[一种用于显示胃肠道系统穿孔和吻合口功能不全的简单方法]
Chirurg. 1972 Jul;43(7):325-7.
5
[Thrombocyte count, leukocyte count and inorganic phosphate: 3 valuable criteria for the diagnosis of sepsis].[血小板计数、白细胞计数及无机磷酸盐:脓毒症诊断的3项重要标准]
Schweiz Med Wochenschr. 1972 Apr 8;102(14):497-504.
6
The role of the central nervous system in septic shock. I. Pathologic changes following intraventricular and intracisternal endotoxin in the dog.中枢神经系统在脓毒性休克中的作用。I. 犬脑室内和脑池内注入内毒素后的病理变化。
Ann Surg. 1968 Feb;167(2):145-57. doi: 10.1097/00000658-196802000-00001.
7
[Relaparotomy in infection].[感染性再次剖腹术]
Chirurg. 1974 May;45(5):208-16.
8
[Diagnostic criteria for the early diagnosis of septicemia].[败血症早期诊断的诊断标准]
Dtsch Med Wochenschr. 1973 Jul;98(28):1370-1. doi: 10.1055/s-0028-1107033.
9
[Postoperative peritonitis. A contribution on diagnosis].[术后腹膜炎。关于诊断的一份报告]
Chirurg. 1978 Jun;49(6):355-61.
10
[X-ray examination for the detection of complications after abdominal surgery (author's transl)].腹部手术后并发症检测的X线检查(作者译)
Prakt Anaesth. 1979 Apr;14(2):138-47.