Lizarralde E
J Pediatr Surg. 1981 Dec;16(6):1012-6. doi: 10.1016/s0022-3468(81)80867-6.
Since 1974, 59 children with typhoid perforation of the ileum were studied prospectively using two protocols. In the first 36 cases a temporary total bypass of the terminal ileum was done (end-to-side ileotransverse colostomy) and several weeks later the intestinal continuity was restored (end-to-end ileoileostomy). The second protocol consisted, in 23 cases, of a partial bypass of the terminal ileum (one stage lateral tube ileostomy). Of the first group 10 died (27.7%). There was no reperforations or fistulae in this group. Of the 26 lateral tube ileostomies 8 died (34.8%). There was one reperforation and 4 fistula in this group. The combined mortality was 30.5%. Complications are presented as well as different methods of treatment. The author believes that a bypass operation with good medical supportive treatment, including total parenteral alimentation, will improve results.
自1974年以来，采用两种方案对59例回肠伤寒穿孔患儿进行了前瞻性研究。在前36例中，对末端回肠进行了暂时性完全旁路手术（端侧回肠横结肠造口术），几周后恢复肠道连续性（端端回肠回肠吻合术）。第二个方案包括23例，对末端回肠进行部分旁路手术（一期侧管回肠造口术）。第一组中有10例死亡（27.7%）。该组无再穿孔或瘘管形成。在26例侧管回肠造口术中，有8例死亡（34.8%）。该组有1例再穿孔和4例瘘管。总死亡率为30.5%。文中介绍了并发症以及不同的治疗方法。作者认为，在包括全胃肠外营养在内的良好医疗支持治疗下进行旁路手术，将改善治疗效果。
