Esser G
Langenbecks Arch Chir. 1978 Nov;347:387-92. doi: 10.1007/BF01579361.
Intestinal obstruction and distension with stasis of the intestinal contents have to be dealt with simultaneously. Opening of the small intestine for aspiration may cause infection and is not necessary. Aspiration via a Miller-Abbot tube is complicated and time consuming. Beginning at the proximal end of the jejunum the contents of the small intestine can be emptied without risk into the stomach by digital pressure. The contaminated intestinal contents can be aspirated via a gastric tube, relieving distension and restoring intestinal circulation and motility. The simplicity of this method, its immediate effect, and its lack of complications are evident.
肠梗阻以及肠内容物淤滞必须同时处理。打开小肠进行抽吸可能会导致感染,且没有必要。通过米勒-阿伯特管进行抽吸操作复杂且耗时。从空肠近端开始,通过指压可将小肠内容物无风险地排入胃内。污染的肠内容物可通过胃管吸出,从而缓解腹胀,恢复肠道循环和蠕动。这种方法的简便性、即时效果以及无并发症显而易见。